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(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 How to Take Pictures of How to Take Pictures of Skin / Dermatology Skin / Dermatology Conditions for Remote Conditions for Remote Diagnosis Diagnosis

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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Page 1: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

(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

How to Take Pictures of How to Take Pictures of Skin / Dermatology Skin / Dermatology

Conditions for Remote Conditions for Remote DiagnosisDiagnosis

Page 2: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

© ClickMedix, LLC 2012 http://clickmedix.com 2

• Good Enough: shows dimension, hair follicles

Capture clear, focused images for diagnosisCapture clear, focused images for diagnosisCapture clear, focused images for diagnosisCapture clear, focused images for diagnosis

Image source: https://global.clickmedix.com

Page 3: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

© ClickMedix, LLC 2012 http://clickmedix.com 3

• Insufficient for diagnosis: Blurry, unfocused

Capture clear, focused images for diagnosisCapture clear, focused images for diagnosisCapture clear, focused images for diagnosisCapture clear, focused images for diagnosis

Image source: https://global.clickmedix.com

Page 4: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

© ClickMedix, LLC 2012 http://clickmedix.com 4

Use fluorescent lighting or sunlight for better Use fluorescent lighting or sunlight for better color contrastcolor contrast

Use fluorescent lighting or sunlight for better Use fluorescent lighting or sunlight for better color contrastcolor contrast

Image source: https://global.clickmedix.com

Page 5: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

© ClickMedix, LLC 2012 http://clickmedix.com 5

Use a ruler or coin for perspective sizeUse a ruler or coin for perspective sizeUse a ruler or coin for perspective sizeUse a ruler or coin for perspective size

Image source: http://www.badspiderbites.com/images/candy-ruler-bite1.jpg

Page 6: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleMark lesions that seem subtleMark lesions that seem subtle

Page 7: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleShow entire extent of involvementShow entire extent of involvement

• Include involved AND uninvolved areas

• Use maximum image area to show extent of involvement

Page 8: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleUse solid / contrasting backgroundUse solid / contrasting background

• Use solid background

• Avoid backgrounds that may be distracting (reflective, busy, cluttered)

Page 9: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleLesions on Face: Photograph front, left-side and right-Lesions on Face: Photograph front, left-side and right-side of the faceside of the face

Then Take: Close ups (of representative lesions)

Page 10: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleHair: Photograph the head and scalpHair: Photograph the head and scalp

• Take close up of involved area• Photos should clearly show

any erythema, hair loss, scaling, or crustingo May have to part and/or clip

hair to expose the involved area

Page 11: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleTrunk: Photograph front, back and side with Trunk: Photograph front, back and side with arms uparms up

Then Take close-ups (of representative lesions)

Page 12: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleArms: photograph both arms and handsArms: photograph both arms and hands

Then take close ups (of representative lesions)

Page 13: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleLegs: photograph both legs, front, back, and Legs: photograph both legs, front, back, and side (optional)side (optional)

Optional Set:

Then take close ups (of representative lesions)

Page 14: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleHands/Feet: Photograph front and backHands/Feet: Photograph front and back

Then take close ups (of representative lesions)

Page 15: How to take pictures for teledermatology: remote diagnosis of dermatologic / skin conditions

Click to edit Master title styleClick to edit Master title styleClick to edit Master title styleClick to edit Master title styleTake complementary SetsTake complementary Sets

If a condition involves or photographed.

If Involved: Include Look / Ask / ? IncludeHands Feet Elbows/KneesFeet Hands GroinElbows Knees ScalpKnees Elbows ScalpScalp Face Knees, ElbowsPopliteal fossa Antecubital fossa Neck, Face, handsAntecubital fossa Popliteal fossa Neck, Face, handsNail (any) All nails Oral MucosaGroin Buttocks Hands & FeetFace (Eyebrows, NLF) ScalpOral Mucosa Genitals

Certain locations, “complementary areas” may need to be examined