How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

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This presentation details how to photograph images for skin / dermatology conditions needed for a remote dermatologist to provide diagnosis and treatment advice.

Transcript of How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

  • 1. How to Take Pictures ofSkin / Dermatology Conditions for RemoteDiagnosis(Images/information provided in this section are courtesy ofDr. Hon Pak, LTC MC, Dr. Carrie Kovarik, MD, Dr. Karen McKoy, MD )http://clickmedix.com

2. Capture clear, focused images for diagnosis Good Enough: shows dimension, hair follicles Image source: https://global.clickmedix.com ClickMedix, LLC 2012 http://clickmedix.com 2 3. Capture clear, focused images for diagnosis Insufficient for diagnosis: Blurry, unfocusedImage source: https://global.clickmedix.com ClickMedix, LLC 2012http://clickmedix.com 3 4. Use fluorescent lighting or sunlight for better color contrast Image source: https://global.clickmedix.com ClickMedix, LLC 2012 http://clickmedix.com 4 5. Use a ruler or coin for perspective size Image source: http://www.badspiderbites.com/images/candy-ruler-bite1.jpg ClickMedix, LLC 2012http://clickmedix.com 5 6. Mark to edit Master title styleClick lesions that seem subtle 7. Show entire extent of involvement Click to edit Master title style Include involved ANDuninvolved areas Use maximum image areato show extent ofinvolvement 8. Use solid /edit Master title styleClick to contrasting background Use solid background Avoid backgrounds that may be distracting (reflective, busy,cluttered) 9. Lesions onClick to edit Master title style and right- Face: Photograph front, left-side side of the face Then Take: Close ups (of representative lesions) 10. Hair: Photograph the head and scalp Click to edit Master title style Take close up of involved area Photos should clearly showany erythema, hair loss,scaling, or crustingo May have to part and/or cliphair to expose the involvedarea 11. Trunk: Photograph front, back and side with Click to edit Master title stylearms up Then Take close-ups (of representative lesions) 12. Click to edit Master title styleArms: photograph both arms and handsThen take close ups (of representativelesions) 13. Legs: photograph both legs,title style and Click to edit Masterfront, back, side (optional)Optional Set:Then take close ups (of representative lesions) 14. Hands/Feet: Photograph frontstyle backClick to edit Master title and Then take close ups (of representative lesions) 15. Click tocomplementary SetsTake edit Master title styleIf a condition involves or photographed. If Involved:Include Look / Ask / ? IncludeHandsFeetElbows/KneesFeet Hands GroinElbows Knees ScalpKneesElbowsScalpScalpFaceKnees, ElbowsPopliteal fossaAntecubital fossa Neck, Face, handsAntecubital fossaPopliteal fossa Neck, Face, handsNail (any) All nails Oral MucosaGroinButtocksHands & FeetFace (Eyebrows, NLF) ScalpOral MucosaGenitalsCertain locations, complementary areas may need to be examined