#Doctors in training step 2 2013 skin#
5 In addition, primary care physicians trained in dermoscopy improve their ability to identify skin lesions suggestive of skin cancer compared with naked eye examination alone (76% to 79% vs. 17 Primary care physicians trained in dermoscopy can reduce their referral rate or benign-to-malignant excision ratio (from 9.5 to 3.5). Without formal training, the use of dermoscopy may result in poorer performance compared with naked eye examination. However, improvement in diagnostic accuracy is contingent on acquiring dermoscopy training. White shiny streaks, also known as crystalline structures, are more conspicuousĭermoscopy can enhance a clinician's ability to detect skin cancer. White shiny structures cannot be visualized adequately Vascular structures and collagen are more conspicuous White scar-like areas are more conspicuousĪbility to visualize vascular structures depends on the amount of pressure applied to the skin Regression structures (peppering, blue-white areas, and gray color) are more conspicuous Steel blue color in blue nevi appears more homogeneousīlue color in blue nevi will appear darker, with differing hues Milia-like cysts and comedo-like openings are less conspicuous Milia-like cysts and comedo-like openings are more conspicuous Requires a liquid interface and direct contact between the scope and the skinĪlthough it can be used in contact or noncontact mode, and can be used with or without a liquid interface, direct contact and liquid interface provide superior image clarityĭeep layers of epidermis and papillary dermis (depth of polarized light approximately 60 to 100 μm) are better visualizedīlue-white veil due to orthokeratosis is more conspicuous
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