Dermoscopy

**History of Presenting Complaint** [Summarise patient’s description of the presenting complaint, including duration, changes over time, symptoms (itching, bleeding, crusting, pain), evolution (static/enlarging/changing colour or shape), prior trauma or infection, prior similar lesions, and any previous excision, biopsy, or dermatology input.] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) --- **Relevant Past History** [Include relevant history such as melanoma, non-melanoma skin cancer, immunosuppression, significant sun exposure, tanning bed use, or family history of melanoma.] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) --- **Medications & Allergies** [List relevant medications and allergies, especially immunosuppressants, photosensitisers, or anticoagulants if considering biopsy.] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) --- **Examination Findings** (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) **Site:** [Describe site of lesion] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) **Size:** [Record lesion size in mm] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) **Shape:** [Describe shape — round, irregular, asymmetric] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) **Border:** [Describe border — well-defined, irregular, fading] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) **Colour:** [Describe pigmentation pattern — uniform or variegated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) **Surface:** [Describe surface — smooth, scaly, crusted, ulcerated] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) **Dermoscopic features:** [Describe dermoscopic features such as pigment network, globules, dots, streaks, structureless areas, blue-white veil, regression, vessels, or features suggestive of melanoma, BCC, seborrhoeic keratosis, naevus, etc.] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) --- **Assessment / Impression** [Provide a concise summary of the lesion appearance and level of concern, e.g. benign-appearing melanocytic naevus or suspicious pigmented lesion to rule out melanoma.] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) --- **Plan** [List management plan as discussed, including reassurance and advice, self-monitoring with photographic record, safety-net advice (return if changes in size, shape, colour, or bleeding occur), 2WW referral for urgent excision, routine referral for dermatology review, cryotherapy or excision in primary care if appropriate, and written information given.] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) --- **Follow-up** [State follow-up arrangements, e.g. review timeframe or awaiting secondary care outcome.] (Only include if explicitly mentioned in the transcript, contextual notes, or clinical note; otherwise omit completely.) --- (For each section, only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own patient details, assessment, plan, interventions, evaluation, or next steps—use only the transcript, contextual notes, or clinical note as reference for all information. If any information related to a placeholder has not been explicitly mentioned, do not state that in the output; simply leave the relevant placeholder or section out entirely. Use as many lines, paragraphs, or bullet points as needed to capture all relevant information from the transcript.)