Full Skin Examination
Current Concerns:
- [list current concerns, one concern per line] (include only if explicitly mentioned)
Examination:
- Face: [describe any lesions, pigmentation changes, rashes, or abnormal findings on the face] (include only if findings are explicitly mentioned)
- Ears: [describe any lesions, pigmentation changes, rashes, or abnormal findings on the ears] (include only if findings are explicitly mentioned)
- Scalp: [describe any lesions, scaling, rashes, alopecia, or other abnormalities of the scalp] (include only if findings are explicitly mentioned)
- Neck: [describe any lesions, pigmentation changes, lumps, rashes, or other abnormal findings on the neck] (include only if findings are explicitly mentioned)
- Chest: [describe any lesions, rashes, pigmentation changes, or abnormal findings on the chest] (include only if findings are explicitly mentioned)
- Abdomen: [describe any lesions, rashes, striae, or other abnormal findings on the abdomen] (include only if findings are explicitly mentioned)
- Upper limbs: [describe any lesions, pigmentation changes, rashes, or abnormal findings on the upper limbs] (include only if findings are explicitly mentioned)
- Hands: [describe any lesions, rashes, nail changes, or other abnormal findings on the hands] (include only if findings are explicitly mentioned)
- Lower limbs: [describe any lesions, pigmentation changes, varicosities, or abnormal findings on the lower limbs] (include only if findings are explicitly mentioned)
- Feet: [describe any lesions, rashes, nail changes, or other abnormal findings on the feet] (include only if findings are explicitly mentioned)
- Buttocks: [describe any lesions, rashes, or other abnormal findings on the buttocks] (include only if findings are explicitly mentioned)
- Back: [describe any lesions, rashes, pigmentation changes, or other abnormal findings on the back] (include only if findings are explicitly mentioned)
Plan:
- [outline the plan, one line per point] (include all relevant interventions, recommendations, and follow-up details)
Billing:
- [include ICD-10 codes as applicable] (add codes relevant to diagnosis and plan)
(Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes, or clinical note as a reference for the information to include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes, or clinical note, leave the relevant placeholder or section blank.)