Should I Be Concerned?
Living in a rural setting makes accessing medical care quite challenging. I’m curious about a spot I’ve noticed on my partner’s left knee. Based on the ABCD criteria, it could be a source of concern, yet we lack expertise to evaluate it properly. We haven’t observed any notable changes recently, although it seems to have increased in size over the past two months. It now measures approximately 5mm across. He is a healthy 60-year-old male, weighing 68 kg and standing 188 cm tall. He has never smoked and occasionally enjoys a beer. He also takes a daily multivitamin. Thank you for any advice you can offer.
Answers (1)

9/1/2025, 1:11:10 AM
OpenHealth AI
It’s understandable to be concerned about a spot that has changed in size, especially when you’re considering the ABCD criteria for skin assessment. Given that this spot is now about 5mm and has increased in size over two months, it’s wise to monitor the situation closely. While it’s challenging to evaluate without a healthcare provider, I can guide you on some essential steps to take.
Explanation
The ABCD criteria stand for Asymmetry, Border, Color, and Diameter. Here’s a simple breakdown of what to look for:
- Asymmetry: Is one half of the spot different from the other?
- Border: Are the edges irregular, jagged, or blurred?
- Color: Does it contain multiple colors or irregular shades?
- Diameter: Is it larger than 6mm? (You mentioned it's currently 5mm.)
Even though the spot is measuring below 6mm, the increase in size and duration of presence are noteworthy. While many skin changes are benign, any significant change should be taken seriously.
Next Steps
-
Monitor the Spot: Keep a close eye on the spot for any changes in color, shape, texture, or size. Take pictures weekly to help track changes over time.
-
Limit Irritants: Ensure that the spot is not irritated by clothing or friction from activities. This can help prevent further changes.
-
Hydrate and Maintain Good Skin Care: Regular moisturizing can promote skin health. Encourage him to protect the area from sun exposure with clothing or sunscreen.
-
Consider Remote Consultation: Given difficulties in accessing local care, explore telemedicine options. Many healthcare providers offer virtual consultations, which can be a convenient way to get a professional opinion on skin changes.
-
Plan for the Future: If you notice any concerning changes (greater than previously described, or if it starts to itch, bleed, or cause pain), prioritize scheduling a visit with a dermatologist or healthcare provider when possible.
It's great that you are proactive about your partner's health. Keep observing, maintain good care routines, and consider seeking professional advice when feasible. If you have further concerns or specific questions, feel free to ask!
Related Questions
Dealing with Monthly Illness Following Childbirth
I am a 34-year-old woman, standing at 5'6" and weighing 170 lbs. Currently, I am breastfeeding and taking prenatal vitamins. I have a medical history that includes anxiety and depression, as well as mononucleosis back in 2010. I don’t smoke or drink alcohol, and I experience mild environmental allergies. After welcoming my second child in November 2024, I resumed menstruation in January while exclusively breastfeeding. By March, I came down with strep throat, an illness I hadn't encountered since childhood. Despite spending the week with my family in close contact, none of them fell ill. This coincided with my menstrual cycle. In April, I faced a mysterious illness characterized by a high fever and cough, followed in May by another fever, this time accompanied by tonsillitis. June brought a recurrence of strep throat, and in July, I battled another unidentified infection that escalated to pneumonia. August presented me with yet another fever, alongside shooting pains and a sore throat. By September, strep throat returned, paired with another viral infection. The strep throat responds well to antibiotics, yet it keeps coming back. The other illnesses appear to be viral and remain unresponsive to such treatment. I have visited urgent care several times, fearing I might have COVID-19 or the flu, but all tests returned negative. I've endured high fevers peaking at 104°F. Additionally, I've noticed significant jaw pain during these periods of illness, along with shooting pains throughout my body. My neck often stiffens up, and my lymph nodes are noticeably swollen. I experience severe headaches and debilitating fatigue, occasionally finding it challenging to focus or even see clearly. Throughout these episodes, my family and friends remain in good health. I suspect that my immune system might be compromised but I am uncertain about the appropriate steps to take next. Up until now, I have generally been in good health, and I can't help but wonder if this could be related to flare-ups of Epstein-Barr virus or something similar. During my past bout with mono, my right tonsil swelled significantly and has stayed that way, sometimes affecting my hearing on that side. Since giving birth, my left tonsil has also begun to enlarge and become infected, mirroring what I experienced previously with the right one. I am feeling increasingly distressed by the regularity and severity of these illnesses each month. It has become incredibly difficult for me to care for my children, let alone move from one room to another. This level of incapacitation is new for me; I have always managed to cope, even when unwell, but these recent ailments feel drastically different. There is a perplexing link between my menstrual cycles and these debilitating illnesses. I appreciate any guidance or assistance you may provide as I navigate through this challenging situation!
What Causes a Firm Lymph Node in the Cheek?
Greetings, I'm a 30-year-old female with a complex medical history. I’ve dealt with intense migraines since I was nine. At 27, I experienced a stroke, followed by a transient ischemic attack (TIA) at 28. Eventually, doctors identified a patent foramen ovale (PFO) in my heart. Recently, at 30, I had skin cancer excised from the right side of my face. Now, approximately four days post-surgery, I've noticed a hard lump on the same side of my cheek. All tests conducted so far have ruled out infections, and I don’t have a fever or any ear, nose, and throat (ENT) issues, nor dental problems. I'm uncertain if this warrants further investigation or if anyone else has experienced a similar symptom. Additionally, I would appreciate guidance on which type of doctor to reach out to for this concern. Thank you in advance!
Discomfort in the Chest Area
Greetings, I am a 23-year-old male and I’ve been encountering some discomfort in the upper section of my left chest. At times, it manifests as a slight weakness or mild pain, which can sometimes radiate to my left shoulder, neck, or occasionally down my arm. While it's not excruciating or overly bothersome, I have been experiencing these sensations for approximately two weeks now. Additionally, I’ve observed a change in my breathing, as it seems to be a bit more labored even though I am not actually having trouble inhaling. I visited the emergency room to rule out serious issues, and they concluded that everything appeared normal after conducting an ECG, blood tests, and a chest x-ray. I intend to consult a cardiologist in the upcoming weeks, but I'm seeking advice on how to cope with these symptoms in the meantime and any strategies for managing the situation effectively.
Concern Over White Substance in Throat
(M22) 180 ~ 66 Recently, I experienced an illness that included painful swallowing, fatigue, nausea, and minor headaches. After nearly two weeks, most symptoms subsided, except for the discomfort I felt when swallowing. I’ve been monitoring my throat closely, and today—almost two weeks post-recovery—I discovered a white substance at the back. I applied a propolis spray, which effectively caused the white material to dissolve. However, I have since developed a slight cough, leading me to suspect that it may have shifted to my lungs. This is not an unfamiliar scenario for me, but it is unusual for the symptoms to persist for this long. Additionally, I should note that I recently engaged in sexual activity with two partners simultaneously, which included oral sex. At the time, I was already experiencing initial signs of illness, so I am uncertain if the two are related. It raises the question: could it be that one issue cleared up only to give way to another right after? 🤷 Furthermore, during the first week of my illness, I visited a doctor for lab tests. Unfortunately, I found his approach to be unhelpful and he did not instill confidence in his medical expertise.
Understanding Rectus Sheath Hematoma Bleeding Post-C-Section
Patient Information: 36-year-old female, 5'3", weighing 162 lbs. Following a cesarean section on August 9th, I developed a significant Rectus Sheath Hematoma, which was confirmed on August 28th. Last night, I experienced a considerable amount of bleeding from my c-section incision, prompting a call for an ambulance and a visit to the emergency room. My blood pressure was quite low, and I was diagnosed with a vasovagal response. Although there is still minor bleeding occurring, it is more manageable now and my blood pressure has stabilized. This incident has left me feeling anxious about experiencing a similar situation again, especially the episodes of fainting and my low blood pressure have been frightening. I have already reached out to my obstetrician for a follow-up appointment, but I’m curious about the frequency of this occurrence. The medical staff implied that having a hematoma of this nature is uncommon and typically, they resolve on their own; however, mine seemed to have exacerbated, finding an escape route through the scar. Has anyone else faced a situation like this? Currently, my incision is painful and since I’m on antibiotics for cellulitis, I’m increasingly worried I've jeopardized my recovery from the c-section. The area around the hematoma is slightly open, and while the doctors mentioned it would seal naturally, I can’t help but be concerned about the potential for infection. I apologize for the scattered thoughts—seeing so much blood was overwhelming, and I’m still unsettled! I frequently check on the bleeding (it’s significantly less than earlier!) and whether I might faint again.