Dermoscopy is a non-invasive diagnostic technique that magnifies the skin in such a way that the colour and structure of the top, middle and lower layers of the upper skin (epidermis, dermoepidermal junction and papillary dermis) becomes visible.
This colour and structure cannot be seen with the naked eye.
Dermoscopy has been shown to significantly increase the clinical diagnosis of skin lesions and with a 30% improvement of diagnosis of melanoma compared to that achieved by clinical examination alone.
Cancerous Mole below as seen under Dermoscopic examination by the doctor:
Image below of Benign, non-cancerous moles as seen under a Dermatoscope:
Early detection of a melanoma, basal-cell carcinoma and
squamous-cell carcinoma decreases morbidity and mortality, and therefore result
in better prognosis of malignant skin tumours. The typical application of
dermoscopy is early detection of melanoma.
Dermoscopy is also use to diagnose other types of skin tumours such as basal cell carcinomas, squamous cell carcinomas, cylindromas, dermatofibromas, angiomas, seborrheic keratosis etc.
It is also used in the diagnosis of scabies and pubic louse. This is achieved by staining the skin with India ink. A dermatoscope can help identify the location of the mite in the burrow, facilitating scraping of the scabetic burrow. The dermatoscope can magnify the very small, difficult to see pubic louse, allowing fast and accurate diagnosis and hence, the treatment.
Suspicious moles can be excised by a doctor for biopsy and histology.
The above picture is of a Cancerous Mole - Melanoma
In the treatment of warts. The dermatoscope allows a physician to visualize the structure of a wart and to distinguish it from corn, callouses, trauma, or foreign bodies. Examining warts at later stages of treatment, prevents premature cessation of therapy as the micro-structures of the warts can be follow-up with dermoscopy to ensure if the warts lesion is completely cured.
Dermoscopy of hair and scalp is called trichoscopy. It can help to differentiate the "black dot" of tinea capitis (fungal scalp infection) from alopecia areata.
* The images of cancerous and benign moles are courtesy of the book 'Dermoscopy' and are for educational purposes only. Kindly consult your doctor if you are unsure or suffering from any medical problems.
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Asymptomatic patients may display no symptoms of illness. Vulnerable people should get vaccinated against Influenza which protects susceptible people from, as well as exclude the Flu and H1N1 viruses should they start to show URTI or ARI symptoms.
a. Vaccination decreases the risk of co-infection with COVID-19.
b. Vaccination reduces the burden of respiratory illnesses in the healthcare system.
The latest Influenza Vaccine is now available. It protects against the Flu and H1N1 Viruses. Ministry of Health Safety protocols are adhered to at all times for the safe vaccination of you and your family.
* Importance of Keeping your
Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella)
Part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).
Infectious Diseases - Dengue Fever, Influenza, Hepatitis B, COVID-19
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Comorbidities & Underlying Health Conditions in COVID-19 Patients with Complications
(Ref: https://www.nature.com/articles/s41430-020-0642-3.pdf, Dailymail.co.uk, https://pubmed.ncbi.nlm.nih.gov/32320003/, Comorbidity and its impact on 1590 patients with Covid-19 in China: A Nationwide Analysis https://erj.ersjournals.com/content/early/2020/03/17/13993003.00547-2020
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· Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis
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