Physical Findings

Stop & Think

Lab and X-Ray

Differential Diagnosis

The Disease

Treatment

Conclusions

Quiz & Evaluation

• Even though we didn't see a suspicious lesion on the initial physical, we need to go over him now with a fine tooth comb.
• Melanomas can arise in places you wouldn't guess.
• Anal verge skin and/or distal rectal mucosa.
• Esophageal mucosa.
• Vaginal mucosa.
• Conjunctiva, retina even the iris. 
• Meninges
• They can be hidden above someone's hair line.
• And, of course, the lesion he had removed, but wasn't sent for pathology exam, could be our source.