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.
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How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions
- 1. How to Take Pictures of Skin / Dermatology Conditions for Remote Diagnosis (Images/information provided in this section are courtesy of Dr. 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, unfocused Image source: https://global.clickmedix.com © ClickMedix, LLC 2012 http://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 2012 http://clickmedix.com 5
- 6. Mark to edit Master title style Click lesions that seem subtle
- 7. Show entire extent of involvement Click to edit Master title style • Include involved AND uninvolved areas • Use maximum image area to show extent of involvement
- 8. Use solid /edit Master title style Click 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 show any erythema, hair loss, scaling, or crusting o May have to part and/or clip hair to expose the involved area
- 11. Trunk: Photograph front, back and side with Click to edit Master title style arms up Then Take close-ups (of representative lesions)
- 12. Click to edit Master title style Arms: photograph both arms and hands Then take close ups (of representative lesions)
- 13. Legs: photograph both legs,title style and Click to edit Master front, back, side (optional) Optional Set: Then take close ups (of representative lesions)
- 14. Hands/Feet: Photograph frontstyle back Click to edit Master title and Then take close ups (of representative lesions)
- 15. Click tocomplementary Sets Take edit Master title style If a condition involves or photographed. If Involved: Include Look / Ask / ? Include Hands Feet Elbows/Knees Feet Hands Groin Elbows Knees Scalp Knees Elbows Scalp Scalp Face Knees, Elbows Popliteal fossa Antecubital fossa Neck, Face, hands Antecubital fossa Popliteal fossa Neck, Face, hands Nail (any) All nails Oral Mucosa Groin Buttocks Hands & Feet Face (Eyebrows, NLF) Scalp Oral Mucosa Genitals Certain locations, “complementary areas” may need to be examined
Hinweis der Redaktion
- As medical photography has evolved, “photo standards” have emerged which guide the views you should capture anytime you are trying to photograph a specific area of the body. Use the following pictures of “standard image sets” as guidelines, though remember that additional photos (close-ups and complementary sets) may also be appropriate, depending on the specific clinical presentation of the patient at hand.
- As medical photography has evolved, “photo standards” have emerged which guide the views you should capture anytime you are trying to photograph a specific area of the body. Use the following pictures of “standard image sets” as guidelines, though remember that additional photos (close-ups and complementary sets) may also be appropriate, depending on the specific clinical presentation of the patient at hand.
- As medical photography has evolved, “photo standards” have emerged which guide the views you should capture anytime you are trying to photograph a specific area of the body. Use the following pictures of “standard image sets” as guidelines, though remember that additional photos (close-ups and complementary sets) may also be appropriate, depending on the specific clinical presentation of the patient at hand.
- Now that you know the standard photographic views for each part of the body (anatomical unit), it’s time to think about complementary sets . Certain skin conditions classically involve multiple areas of the skin in a predictable way. For instance, if a patient has silvery, scaly patches on the extensor surface of her elbows, you should check the extensor surface of her knees as well (psoriasis). Knees and elbows can be considered a complementary set in this case. See the chart for additional complementary sets.