keri
Forum Senior
Topics: 28
Posts: 61
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A 32-year-old farmer comes to your office because of an upper respiratory infection. While he is there he points out a lesion on his forearm that he first noted approximately 1 year ago. It is a 1-cm asymmetric nodule with an irregular border and variations in color from black to blue. The patient says that it itches and has been enlarging for the past 2 months. He says he is so busy that he is not sure when he can return to have it taken care of.
In such cases the best approach would be
a.perform a punch biopsy and have the patient return if the biopsy indicates pathology
b. perform a shave biopsy, with a recheck in 2 months for signs of recurrence
c. use electrocautery to destroy the lesion and the surrounding tissue
d. perform an elliptical excision as soon as possible
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| PUsmle
Forum Newbie
Topics: 1
Posts: 11
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C?
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| drkmr
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answer is a
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| keri
Forum Senior
Topics: 28
Posts: 61
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u gotta perform an elliptical excision ,becoz the patient is not sure when he will be able to come ,it can be a malignant nodule also ,so in this case excision is the best
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| Just browsing
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Kaplan explained it like...
The situation is potentially more grave than the patients busy schedule. So a biopsy now to establish the specific dx and then further management accordingly.
I believe thats from Step3 qs.
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| zaki
Forum Guru
Topics: 92
Posts: 398
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i will go for d
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Maverick
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| sunny
Forum Junior
Topics: 4
Posts: 43
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It seems to be melanoma. If follow up is not sure, better excise and biopsy. Axis of excision to run along the lymphatic paths.
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Gurvinder Singh
India.
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| drrabines
Forum Elite
Topics: 90
Posts: 184
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neither Shave or Punch Biposy, if you suspect melanoma
(it loks like that)
2 electrocautery could diseminate it
answer must be Elliptical excision
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| usmledoctor1
Forum Junior
Topics: 4
Posts: 77
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drrabines
i agree with ur opinion
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