There is one opening in the schedule at the dermatology clinic, and 4 patients are seeking appointments today. Which patient will the nurse schedule for the available opening?
a. 38-year old with a 7-mm nevus on the face that has recently become darker
b. 62-year-old with multiple small, soft, pedunculated papules in both axillary areas
c. 42-year-old with complaints of itching after using topical fluorouracil on the nose
d. 50-year-old with concerns about skin redness after having a chemical peel 3 days ago
ANS: A
The description of the lesion is consistent with possible malignant melanoma. This patient should be assessed as soon as possible by the health care provider. Itching is common after using topical fluorouracil and redness is an expected finding a few days after a chemical peel. Skin tags are common, benign lesions after midlife.
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