Skin Exams....

[laxman310]

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When you have a new patient do you:

1. Always performs a full exam?
2. Look at the patients genitals?

I feel like there is a balance between establishing/maintaining rapport with a new patient and making sure to be thorough. If I know a patient is high risk (family hx, lots of blistering sunburns, previous hx of melanoma, etc) I'm more likely to insist on a complete exam. I also assume that most patients can see their own genitals, so I look at buttocks and ask if there are any moles or anything suspicious on the genitals. Obviously for babies I'll look everywhere.

 

[asmallchild]

This will depend on your attending. At our institution, we offer full exams to all new patients. We have our staff ask the patients to put on a gown and leave on whatever they do not want to have examined. I will say most patients will opt not to have a genital exam in which case we recommend followup with OBGYN for females and followup with a PCP or self-exam for males.

When you have a new patient do you:

1. Always performs a full exam?
2. Look at the patients genitals?

I feel like there is a balance between establishing/maintaining rapport with a new patient and making sure to be thorough. If I know a patient is high risk (family hx, lots of blistering sunburns, previous hx of melanoma, etc) I'm more likely to insist on a complete exam. I also assume that most patients can see their own genitals, so I look at buttocks and ask if there are any moles or anything suspicious on the genitals. Obviously for babies I'll look everywhere.

 

[Long Dong]

When you have a new patient do you:

1. Always performs a full exam?
2. Look at the patients genitals?

I feel like there is a balance between establishing/maintaining rapport with a new patient and making sure to be thorough. If I know a patient is high risk (family hx, lots of blistering sunburns, previous hx of melanoma, etc) I'm more likely to insist on a complete exam. I also assume that most patients can see their own genitals, so I look at buttocks and ask if there are any moles or anything suspicious on the genitals. Obviously for babies I'll look everywhere.

1. No, but I do offer it if they want.
2. Yes if they agree/want a full skin exam.