初级保健医生皮肤病指南:全身皮肤检查、皮肤癌检测以及患者自我皮肤检查和防晒教育。

Q3 Medicine Baylor University Medical Center Proceedings Pub Date : 2024-05-31 eCollection Date: 2024-01-01 DOI:10.1080/08998280.2024.2351751
Shangyi Fu, Soojung Kim, Carina Wasko
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引用次数: 0

摘要

皮肤病和皮肤癌是常见的健康问题,需要及早发现和干预。初级保健医生在识别这些病症和作为预防皮肤癌的第一道防线方面发挥着至关重要的作用。本指南提供了进行全面皮肤检查的系统方法,并加深了对癌前病变和癌症病变常见表现的了解。我们强调了每年进行全身皮肤检查以促进早期发现和治疗皮肤病的重要性,包括进行这些检查的循序渐进的系统方案,其中包括让患者做好准备、记录检查结果、教育患者以及考虑对可疑病变进行活检或转诊。此外,我们还探讨了引起临床怀疑并需要进一步检查的皮肤病变的非典型特征。我们描述了基底细胞癌、鳞状细胞癌和黑色素瘤等常见皮肤癌的特征。我们强调患者自我皮肤检查和防晒措施教育的重要性。通过结合本指南中介绍的知识和技能,初级保健医生可以自信地进行全面的全身皮肤检查,识别常见的皮肤病发现和皮肤癌的早期征兆,并为患者提供全面的护理。这将有助于确保皮肤病的最佳治疗效果。
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Dermatological guide for primary care physicians: full body skin checks, skin cancer detection, and patient education on self-skin checks and sun protection.

Dermatological conditions and skin cancers are common health concerns that require early detection and intervention. Primary care physicians play a crucial role in recognizing these conditions and serving as the first line of defense against skin cancers. This guide provides a systematic approach to conducting thorough skin examinations and enhancing understanding of common presentations of precancerous and cancerous lesions. We emphasize the importance of performing annual full-body skin exams to facilitate early detection and management of skin conditions, including a step-by-step, systematic protocol for conducting these exams, comprising preparing the patient, documenting findings, educating the patient, and considering biopsy or referral for suspicious lesions. Furthermore, we explore the atypical features of skin lesions that raise clinical suspicion and warrant further investigation. We describe the characteristics of common skin cancers, such as basal cell carcinoma, squamous cell carcinoma, and melanoma. We stress the importance of patient education on self-skin checks and sun protection measures. By incorporating the knowledge and skills presented in this guide, primary care physicians can confidently perform thorough full-body skin checks, identify common dermatological findings and early signs of skin cancers, and provide comprehensive care to patients. This will help ensure optimal outcomes in dermatological health.

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