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Full Body Skin Exam: Sequence, Missed Sites, and High-Yield Lesions for Skin Cancer Screening | The Derm Resident

In episode two of The Derm Resident, hosts Dr. Jonny Hatch and Dr. Deven Curtis walk through a practical approach to the full body skin exam for skin cancer screening, emphasizing the importance of a consistent exam sequence, patient communication, and documenting spots of concern. They review commonly missed sites (scalp, behind ears, interdigital toe spaces, palms/soles, genitals) and note the need for chaperones for sensitive exams. The episode covers high-yield benign lesions (seborrheic keratoses, sebaceous hyperplasia, cherry angiomas, nevi subtypes and dermoscopy patterns, dermatofibromas, lichen planus-like/lichenoid keratosis, skin tags) and premalignant/malignant lesions (actinic keratoses, basal cell carcinoma, squamous cell carcinoma including keratoacanthoma, and melanoma types including subungual melanoma and Hutchinson sign). They close with biopsy pearls, follow-up intervals based on risk, and counseling on warning signs and daily sun protection.

00:00 Welcome and Disclaimer
00:35 Why Skin Exams Matter
00:49 Starting the Encounter
02:37 Building Your Exam Sequence
05:26 Commonly Missed Sites
08:07 Benign vs Malignant Overview
08:29 Seborrheic Keratoses
12:37 Leser Trelat and Boards Pearls
14:14 Sebaceous Hyperplasia
16:27 Cherry Angiomas
18:20 Nevi Types and Aging
23:23 Dermoscopy of Junctional Nevi
25:10 Intradermal Nevi Patterns
25:21 Intradermal Nevus Clues
26:31 Dermatofibroma Exam Pearls
28:41 Lichenoid Keratosis Explained
30:37 Skin Tags Basics
31:38 Actinic Keratosis Recognition
32:55 AK Treatment Options
35:23 Basal Cell Carcinoma Signs
37:46 Squamous Cell and KA Debate
42:27 Melanoma Types and ABCDE
44:55 Subungual Melanoma Hutchinson
47:51 Biopsy Depth and Technique
48:58 Follow Up and Sun Safety
52:01 Final Wrap and Takeaways