Skin Exams....

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laxman310

TheManWithAPlan
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When you have a new patient do you:

1. Always performs a full exam?
2. Look at the patients genitals?

I feel like there is a balance between establishing/maintaining rapport with a new patient and making sure to be thorough. If I know a patient is high risk (family hx, lots of blistering sunburns, previous hx of melanoma, etc) I'm more likely to insist on a complete exam. I also assume that most patients can see their own genitals, so I look at buttocks and ask if there are any moles or anything suspicious on the genitals. Obviously for babies I'll look everywhere.
 
This will depend on your attending. At our institution, we offer full exams to all new patients. We have our staff ask the patients to put on a gown and leave on whatever they do not want to have examined. I will say most patients will opt not to have a genital exam in which case we recommend followup with OBGYN for females and followup with a PCP or self-exam for males.

laxman310 said:
When you have a new patient do you:

1. Always performs a full exam?
2. Look at the patients genitals?

I feel like there is a balance between establishing/maintaining rapport with a new patient and making sure to be thorough. If I know a patient is high risk (family hx, lots of blistering sunburns, previous hx of melanoma, etc) I'm more likely to insist on a complete exam. I also assume that most patients can see their own genitals, so I look at buttocks and ask if there are any moles or anything suspicious on the genitals. Obviously for babies I'll look everywhere.
Click to expand...
 
laxman310 said:
When you have a new patient do you:

1. Always performs a full exam?
2. Look at the patients genitals?

I feel like there is a balance between establishing/maintaining rapport with a new patient and making sure to be thorough. If I know a patient is high risk (family hx, lots of blistering sunburns, previous hx of melanoma, etc) I'm more likely to insist on a complete exam. I also assume that most patients can see their own genitals, so I look at buttocks and ask if there are any moles or anything suspicious on the genitals. Obviously for babies I'll look everywhere.
Click to expand...

1. No, but I do offer it if they want.
2. Yes if they agree/want a full skin exam.
 
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