Patient Case
Mr. D is a 33 year old man who presents to the dermatology clinic at the urgings of his wife with chief complaint of a "changing mole on my chest." He remembers having a mole at that site for as long as he can remember.
Additional History
"Mr. D, how exactly has the mole changed?"
Answer
"Have you noted any itching, bleeding, or hair loss in the lesion in question?"
Answer
"Have you experienced any recent unexplained bleeding, weight loss, fatigue, fevers, night sweats, or pain?"
Answer
"What is your ethnic background?"
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"Where do you live?"
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"Where have you lived most of your life and for how long?"
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"Has your employment ever been outdoors?"
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"Have you ever had blistering sunburns?"
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"Have you ever used or do you currently use tanning beds or sunlamps?"
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"Do you have a family history of melanoma?"
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"Are you taking medications which impair your immune system, like cortisone, or are you known to be, or at risk for, infection with the virus which causes AIDS?"
Answer
Summary