SKIN CANCERS (SCC, BCC, MELANOMA)

PATIENT NAME:

AGE/SEX:

OCCUPATION:

ADDRESS:

RACE:

SOCIO ECONOMIC STATUS:

CHIEF COMPLAINTS:

• ULCER IN THE RIGHT OR LEFT SIDE OF THE NOSE FOR……………..

• PAIN IN THE ULCER………………………

HISTORY OF PRESENTING ILLNESS:

PATIENT WAS APPARENTLY NORMAL BEFORE…………………THEN HE DEVELOPED

• H/O ULCER IN THE RIGHT OR LEFT SIDE OF THE NOSE FOR………………

▪ ONSET
▪ STARTED AS SMALL SWELLING
▪ PROGRESSION
▪ ATTAINED THE PRESENT SIZE
• H/O PAIN IN THE ULCER………………DUARATION
▪ SITE
▪ SIDE
▪ ONSET
▪ PROGRESSION
▪ CONTINOUS / INTERMITTENT
▪ TYPE
▪ CHARACTER OF THE PAIN
▪ AGGARAVATING FACTORS
▪ RELIEVING FACTORS
• H/O DISCHARGE
• H/O ITCHING
• H/O TRAUMA
• H/O EXPOSURE TO SUNLIGHT
• H/O LOSS OF WEIGHT
• H/O LOSS OF APPETITE
• H/O CHEST PAIN
• H/O BREATHLESSNESS
• H/O HEMOPTYSIS
• H/O COUGH WITH EXPECTORATION
• H/O ABDOMINAL PAIN
• H/O ABDOMINAL DISTENSION
• H/O VOMITING
• H/O JAUNDICE
 • H/O LOSS OF CONSCIOUSNESS
• H/O HEAD ACHE
• H/O SEIZURES
• H/O SWELLING ELSEWHERE IN THE BODY

IF LESION PRESENT IN THE FOOT MEANS

• H/O DIFFICULTY IN WALKING

• H/O DEFORMITY IN THE LOWER LIMB

PAST HISTORY:

• H/O SIMILAR EPISODES IN THE PAST

• K/C OF DM/SHT/ASTHMA/ALLERGY/HEART DISEASE/KIDNEY DISEASE/TB/ EPILEPSY
• H/O PREVIOUS SURGERY IN THE PAST LIKE MOLE EXCISION, ENUCLEATION.
• H/O CHRONIC DRUG INTAKE.

PERSONAL HISTORY:

• DIET – VEGATARIAN /NON VEGATARIAN

• SMOKER
• ALCOHOLIC
• BETEL NUT CHEWING
• BOWEL AND BLADDER HABITS
• SLEEP PATTERN
• MARRIED OR UNMARRIED

FAMILY HISTORY:

• TOTAL NUMBER OF FAMILY MEMBERS

• MALES –
• FEMALES –
• HEALTH STATUS OF THE FAMILY MEMBERS

MENSTRUL HISTORY:

• AGE AT MENARCHE –
• REGULAR /IRREGULAR CYCLES –
• CYCLES - ……../30
• ASSOCIATED WITH PAIN OR CLOT
• AGE AT MENOPAUSE –
• LAST MENSTRUL PERIOD –

OBESTETRIC HISTORY:

• OBESTETRIC CODE – G P L A
• TOTAL NUMBER OF CHILDREN
• MALES –
• FEMALES –
• EACH CHILD – PRETERM/ TERM/ POST TERM, VAGINAL / CESARIAN , HOME / HOSPITAL DELIVERY
• EACH CHILD BREAST FED FOR………………
GENERAL EXAMINATION:

• CONSCIOUS
• ORIENTED
• COPERATIVE
• COMFORTABLE
• FEBRILE
• HYDRATION
• PALLOR
• JAUNDICE
• BUILD
• NOURISHMENT
• CLUBBING
• CYANOSIS
• PEDAL EDEMA
• GENERALIZED LYMPH ADENOPATHY
• VITAL SIGNS
▪ BP –
▪ PR –
▪ RR –
▪ T–

LOCAL EXAMINATION:

INSPECTION:

AFTER GETTING CONSENT FROM THE PATIENT WITH ADEQUOTE EXPOSURE

• ULCER SITE
• SIZE
• SHAPE
• COLOUR
• EXTENT
• MARGIN -
• EGDE -
• FLOOR -
• DISCHARGE -
• SURROUNDING AREA
➢ SCAR
➢ SINUS
➢ DILATED VEINS
➢ ECZEMA
➢ EDEMA
➢ PIGMENTATION
➢ INFLAMMATORY SIGNS
▪ SKIN SHINY
▪ REDNESS
▪ EDEMATOUS
• LYMPHNODES SEEN OR NOT
PALPATION:

• WARMTH
• TENDERNESS
• SITE,
• SIZE,
• SHAPE,
• EXTENT
• MARGIN
• EDGE
• FLOOR
• BASE
• INDURATION
• MOBILITY
• BLEEDS ON TOUCH OR NOT
• SURROUNDING AREA
➢ WARMTH
➢ TENDERNESS
➢ INDURATION
➢ MOBILITY
➢ FIXITY
➢ BONE THICKENING

IF NECESSORY FOLLOWING FINDINGS IF LESION IN LOWER LIMB OR UPPER LIMB MEANS

• LIMB MEASUREMENTS
• EXAMINATION OF LYMPH NODES
• EXAMINATION OF PERIPHERAL PULSES
PULSE RIGHT LEFT
FEMORAL PULSE
POPLITEAL PULSE
ANTERIOR TIBIAL PULSE
POSTERIOR TIBIAL PULSE
PERONEAL PULSE
DORSALIS PEDIS PULSE

• EXAMINATION OF ADJACENT JOINT MOVEMENTS

➢ ACTIVE MOVEMENTS
➢ PASSIVE MOVEMENTS

• EXAMINATION OF NERVOUS SYSTEM –

➢ SENSATION
➢ MUSCLE POWER

• SPINE –

• CRANIUM –

• GAIT –
OTHER SYSTEM EXAMINATION:

• CVS – S1 S2
ADDED SOUNDS

• RS – NVBS
ADDED SOUNDS

• ABDOMEN:
SOFT -
TENDERNESS -
MASS PALPABLE -
ORGANOMEGALY -
PV-
PR-

• CNS – NFND

DIAGNOSIS:

A CASE OF SQUAMOUS CELL CARCINOMA OR BASAL CELL CARCIMONA OR MALIGNANT MELANOMA INVOLVING
THE …………………………..REGION.