HPI: Mr. C a 62-year-old farmer presents

HPI: Mr. C a 62-year-old farmer presents to your clinic to have you look at the change in a mole on his face. He just noticed a change two weeks ago. He says that the mole doesn’t itch, but it has grown larger daily and is darkening. He has not noticed any discharge from the site. He denies being bitten by insects. Although he works outdoors daily, he does not use any sunscreen. Mr. C has smoked one cigar daily for the past 35 years. On average, he drinks three beers daily and has done so for the past 40 years. He had a broken tibia repaired 2 years ago. His father died of complications of melanoma. His mother died of lung cancer. 1. List three questions you believe are important to ask during this interview process? Why do you believe these questions are important. 2. What are the “Red Flags” signs and symptoms related to this chief complaint that you would look for? (List at least 3) 3. List 3 differential diagnoses and give rational for each.

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