A 68 year old male presents to the dermatologist?s office for a skin cancer screening check following removal of melanoma two years ago. The patient is complaining of a lesion to his nose. He denies any other complaints.
ROS: No fever, no rash, no edema
Exam: Const: Well-nourished male in no distress, vitals normal
Skin: Full head to toe skin exam is normal except for a scar on the right arm from the previous melanoma excision and the nose which shows a small 2 mm pink scaly lesion.
A/P: Discussed the lesion on the nose with the patient for which a biopsy was recommended. I discussed the biopsy with the patient who agreed to have it done today. After informed consent was signed, the patient was prepped and draped and 1.5 cc of lidocaine with epi was injected for anesthesia. Once the area was numb, a small biopsy was taken from the nose lesion and sent to pathology. Minimal bleeding occurred and a Band-Aid was placed. Will contact patient with pathology results and will schedule follow up as needed.
Dx: Skin lesion on nose, pathology pending
History of melanoma
Screening for skin cancer
:confused:
ROS: No fever, no rash, no edema
Exam: Const: Well-nourished male in no distress, vitals normal
Skin: Full head to toe skin exam is normal except for a scar on the right arm from the previous melanoma excision and the nose which shows a small 2 mm pink scaly lesion.
A/P: Discussed the lesion on the nose with the patient for which a biopsy was recommended. I discussed the biopsy with the patient who agreed to have it done today. After informed consent was signed, the patient was prepped and draped and 1.5 cc of lidocaine with epi was injected for anesthesia. Once the area was numb, a small biopsy was taken from the nose lesion and sent to pathology. Minimal bleeding occurred and a Band-Aid was placed. Will contact patient with pathology results and will schedule follow up as needed.
Dx: Skin lesion on nose, pathology pending
History of melanoma
Screening for skin cancer
:confused:
Please help with this case...ASAP
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