48 Dermatologic Lesion Documentation and Description

“Documentation is the key to happiness” Sue Spence DVM

Describing lesions and measuring lesions including exact location and character is vital to proper diagnosis and subsequent treatment

When lump first occurred and rate of growth important as well as any change in character

FNA every Lump is best practice as you never know whats inside without looking!

Canine body map
Canine Body Map used to facilitate location, description, FNA results of lesions, and treatment Taking a high quality picture with ruler also a good idea-some Clinic software has this feature built in as well as software for submitting pictures along with samples to Pathologist

Down load and print your own copy of Dog/Cat Body maps here

EXACT LOCATION AND RELATION TO IMPORTANT STRUCTURES

SIZE-3 dimensions!

ATTACHMENT mobile, deeply attached, pedunculated

SHAPE in 3 dimensions! ovoid, globular, multi-lobulated, raised, round,

COLOR/COLOR PATTERN mottled, pale, opaque,

SURFACE crusts, hairless, erythematous, serosanguinous, inflamed

FIRMNESS/FLUID soft, soft tissue, firm, hard

Description and pictures of comedones etc… here-ask Dr. Torres!

 

 

 

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Veterinary Clinical Skills Compendium Copyright © by Susan Spence. All Rights Reserved.

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