Skin Check

Indoor F2F consult Patient consents to use of note taking software Skin check **History:** Past history of skin cancer: * Melanoma, diagnosed 2018 Family history of skin cancer: * Mother: Melanoma Anticoagulant medications: * Aspirin 75mg daily Drug allergies (including medical substances or wound dressings): * Penicillin: Rash Youth sun exposure: * High Blistering sunburn before 10 years old: * Yes Adult sun exposure: * Medium Solarium use: * Yes, used approximately 10 times between ages 20-25 Last full skin check: * 12 June 2024, Dr. Smith, no concerning lesions identified Immunocompromised status: * Nil Fitzpatrick skin phototype: * Type 2 Lifetime risk for melanoma (%): * 15% Lesions of concern: * New lesion on left shoulder, changing in size and colour over the last 3 months. Chaperone offered: * Accepted Usual GP(s): * Dr. Emily Carter, The Grove Medical Centre **Examination:** Detailed scalp to toes examination Pt undressed to underwear with consent Naevi count: * >100 banal naevi Lesion findings: * Lesion 1: L shoulder: 6x4mm, irregular border, variegated colour, ?Melanoma * Lesion 2: R upper back: 3x2mm, pink macule, ?BCC **Plan:** - Next full skin check in: 6 months - Return earlier if any concerns - Suggested monthly self-skin checks, return if detects any SCAN (sore, changing, abnormal looking/behaving, new) lesions - Reviewed photos of skin cancers in their early stages to help pt understand SCAN method in early detection - Advised to wear sunscreen, long sleeve clothing regularly - Able to have 10–30 mins of daily sun exposure for Vit D, preferable morning and late afternoon during UV rating <3