Publications by authors named "Adam Korzenko"

Importance: As medical school curricula become progressively integrated, a need exists to optimize education related to the skin cancer examination (SCE) for melanoma, a relevant competency gap that influences secondary prevention efforts.

Objectives: To identify curricular factors associated with medical students' confidence, intent, and performance regarding the SCE.

Design, Setting, And Participants: Survey-based cross-sectional study from the Integrated Skin Exam Consortium at accredited US medical schools among a volunteer sample of second-year students representing 8 geographically varied public and private institutions.

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Background: Knowledge of the skin cancer examination (SCE) and its practice remain relevant competency gaps among medical students.

Objective: We elaborate on a method of SCE known as the Integrated Skin Exam and discuss the development of an instructional film that illustrates its principles. We assess the tool's effect on knowledge, attitudes, and perceptions related to the SCE.

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Article Synopsis
  • Dermoscopy significantly aids in recognizing skin lesions and making management decisions, although time constraints often limit its use in clinical settings.
  • In a study involving experienced dermatologists and residents, participants displayed improved accuracy in diagnosing malignant lesions when given more time and context, especially benefiting non-experts.
  • The findings suggest that dermoscopy can be an efficient tool for clinical decision-making, enhancing diagnostic accuracy without being overly time-consuming.
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Objectives: To describe the dermoscopic features of congenital melanocytic nevi (CMN) and assess whether predominant dermoscopic patterns present in CMN are related to an individual's age (<12 years vs >or=12 years), sex, or lesional site (head, neck, and trunk vs extremities).

Design: Nonrandomized observational study.

Patients: A total of 77 consecutive patients, each with 1 CMN (n = 77 lesions), from an outpatient dermatology clinic.

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The clinical uses of oral isotretinoin (13-cis-retinoic acid) are many. They include treatment of acneiform eruptions, diseases of cornification, inflammatory disorders, and neoplastic processes. Isotretinoin has shown greater efficacy in the chemoprevention of squamous cell carcinoma, rather than in the treatment.

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Background: Deep venous thrombosis in primary care is usually treated with rest, analgesics, intravenous or low-molecular-weight heparin, and coumadin. In some cases, however, a less familiar course of diagnosis and management is required.

Methods: We describe the case of a 53-year-old truck driver who had an acute deep venous thrombosis of his right lower extremity, which failed to respond to routine therapy with heparin and warfarin.

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