Dermatology Book

Hematology and Oncology

  • Self Skin Exam

http://www.fpnotebook.com/

Self Skin Exam

Aka: Self Skin Exam, Patient Performed Skin Exam, Melanoma Prevention
  1. See also
    1. Sun Exposure
    2. Sunscreen
    3. Melanoma Risk Factors
    4. Atypical Nevus
  2. General
    1. Document exams
      1. Map out mole locations on a body diagram
      2. Consider taking pictures every 6-12 months
    2. Perform with bright lighting
    3. Abnormalities for which to observe
      1. See Atypical Nevus
      2. Changes to moles or Freckles
      3. Unusual appearing moles (>5 mm or pencil eraser size)
        1. Asymmetric
        2. Multiple colors
        3. Irregular borders
  3. Timing
    1. Monthly examination at home
  4. Technique: Systematic review undressed in front of mirror
    1. Palms, between fingers, and front of Forearms
    2. Back of fingers, hands, and back of Forearms
    3. Full length mirror exam
      1. Face
      2. Neck
      3. Chest
      4. Abdomen
      5. Groin
      6. Front of Legs
      7. Right side of body
      8. Left side of body
      9. Buttock
      10. Back of legs
    4. Sitting with hand mirror
      1. Inner legs
      2. Groin
      3. Bottom of Foot and between toes
    5. Two mirror exam (hand mirror and full length mirror)
      1. Back of neck
      2. Back
      3. Buttocks
      4. Scalp (consider using hair dryer on cool setting)
  5. Prevention
    1. Sunscreen
      1. Lowers 10 year Melanoma risk by 50% in adults
      2. Green (2011) J Clin Oncol 29(3): 257-63 [PubMed]

Skin self-examination (C1444170)

Concepts Diagnostic Procedure (T060)
SnomedCT 409980007
English Skin self-examination (procedure), Skin self-examination
Spanish autoexamen de piel (procedimiento), autoexamen de piel
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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