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Derm Vivas

Derm Vivas ·

Skin biopsy techniques — Viva

clinical1 min readVerification in progress
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Q1: Menu of techniques (2 min)

Define shave, punch, incisional, and excisional biopsy. Give one ideal indication each.

Q2: Melanoma sampling (3 min)

What does European diagnostics guidance prefer? How can partial biopsy harm staging?

Q3: Punch OSCE steps (3 min)

Mark, LA, stretch direction, rotate, snip, haemostasis/closure. How do you avoid crush artefact?

Q4: Specimen logistics (3 min)

Formalin vs Michel medium vs culture pot. Where do you biopsy an ulcer? A fresh blister for H&E vs DIF?

Q5: Panniculitis and alopecia (2 min)

Why must fat be in the panniculitis specimen? Outline the concept of dual punches/sectioning for alopecia.

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