Factors for not performing total body skin examinations in primary care in association with teledermoscopy.

Purpose: To investigate factors related to omitted total body skin examination (TBSE) in skin cancer diagnostics while managing patients using teledermoscopy (TDS) in Swedish primary care.

Methods: 4,987 TDS referrals from primary care centers were analyzed to identify factors associated with failing to perform TBSE. Data collected included age, gender of patient and physician, and reason for a visit.

Nonoperative treatment of Achilles tendon rupture: 196 consecutive patients with a 7% re-rupture rate.

Background: The best treatment for acute Achilles tendon rupture is unknown.

Patients And Methods: We assessed the outcome of nonoperative treatment in 196 consecutive individuals with an acute total Achilles tendon rupture who were followed until healing. The mean duration of treatment in cast or orthosis was 8 weeks.