Derm

Mole / skin cancer

• ID
• cc: Changing mole
• HPI
  • OPQRST of mole
  • ABCDEs of melenoma
    • Asymmetry
    • Border
    • Colour
    • Dimension
    • Enlargment
• Associated symptoms
  • bleeding
  • pain
  • itching
• Risk factors
  • Previous skin cancer
  • Immunosuppression
  • dysplastic nevi
  • FHx of melanoma
  • Sun exposure
    • occupation
    • Use of tanning bed
    • Sun protection
  • Fair skinned - prone to burn / sun sensitive
• Medications
  • Immunosuppression
  • photosensitizing medications
• Allergies
• Past Medical History
• FIFE

Hair loss

• ID
• cc: hair loss
• HPI
  • OPQRST of hair loss
  • diffuse vs discrete patches
• Associated symptoms
  • Burning
  • Itching
• Risk factors
  • Significant stressors
    • surgeries, major illness, pregnancies
  • Thyroid disease
  • Iron deficiency
  • Nutritional deficiencies
  • Drugs
• Medications
• Allergies
• Past Medical History
• FIFE

Itchy skin

• ID
• cc: Itchy skin
• HPI
  • OPQRST of itchy skin
  • Previous treatment (creams, ointments)
  • Others who also have itch
  • New medications?
  • New products (shampoos, soaps, moisturizers)
• Associated symptoms
  • Bleeding
• Risk factors
  • Living situation (nursing home)
  • Household contacts
• Medications
• Allergies
• Past Medical History
• FIFE

Rational Clinical Exam

• Mole vs Melanoma (1998)