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DERMATOLOGY CONSULTATION

HISTORY: This is a 64-year-old white female who complains of a changing growth on her face. On her left nasolabial fold, she has noted a growth, which has been bleeding at times and this growth appeared about a year ago. She has no allergies to medicine. She is currently on medication for high blood pressure.

PHYSICAL EXAMINATION: Reveals on the lateral aspect of her nose, a 3-mm crusted violaceous papule.

IMPRESSION: Possible nevus versus basal cell carcinoma. She also has some other nevi on the face.

RECOMMENDATIONS: All risks and options were explained. She was warned about the possibility of scar. Features of skin cancer recognition were reviewed. She was given information about skin cancer. Shave biopsy was done on the left nose.