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DERMATOLOGY CONSULTATION

HISTORY:  This is a 65-year-old black male who complains of a nonhealing lesion on his right lower leg for about three years. He also has some spots on his face. He has multiple medical problems and is on multiple medications. 

PHYSICAL EXAMINATION: Reveals on his right medial leg, a 3.5 x 2.0 cm red plaque with slight crust especially at the superior aspect. He also has a few small evenly pigmented brown papules on his face. 

IMPRESSION: Possible eczema versus neoplasm on the leg, moles and skin tags on the face.

RECOMMENDATION: All risks and options were explained. Shave biopsy was done on the lower leg. Features of skin cancer recognition were reviewed.