1. BASAL CELL CARCINOMA By: Benjamin Roa & Jessica Sizemore

2. CHIEF COMPLAINT Sex: Female Age: 23 years old Occupation: Swim suite model -Sore/itchy bump on back of neck and face

3. PHYSICAL EXAMINATION Bumps look like infected moles and are red, swollen, rough at the surface and positive tenderness on palpation Vital signs: BP = 116/74, Temperature = 99.8, Pulse = 62, Respiratory rate = 14

4. HISTORY Her mother is 54, she has blonde hair and a light skin tone, suffers from obesity and has a history of high blood pressure, diabetes, breast cancer, and thyroid problems Her farther is 56, he has blonde hair and blue eyes, and of normal weight and has a history of heart disease and high blood pressure. She has no major medical history but she spends most of her time out in the sun and has a light skin tone

5. DIAGNOSIS The doctors also considered that the patient could have had melanoma, a staph infection or an infected insect bite Blood test Skin biopsy

6. CAUSES Direct contact of UV rays to the skin - The patient has a fair skin tone and likes to lay out by the sun and in tanning beds

7. PREVENTION/TREATMENT Stay out of the sun and apply sun screen  Mohs Micrographic Surgery  Radiation Surgery  the Excisional Surgery  Medication called Imiquimod

8. REFERENCES Bartholomew, Edwin, Nath, Judi, Martini, Frederic, 2012, Fundamentals of Anatomy & Physiology. Memorial Sloan Kettering Cancer Center, 2014, http://www.mskcc.org/cancer-care/adult/basal-cell-carcinoma/prevention-early-detection Mayo Clinic, 2014, http://www.mayoclinic.org/diseases-conditions/basal-cell-carcinoma/basics/tests-diagnosis/con-20028996 Skin Cancer Foundation, 2014, http://www.skincancer.org/skin-cancer-information/basal-cell-carcinoma/bcc-treatment-options Cancer Research UK, 2014, http://www.sunsmart.org.uk/UV-the-sun-and-skin-cancer/how-does-UV-cause-skin-cancer/how-does-UV-cause-skin- cancer Cox, John, Harding, Marry, Kenny, Tim, 2014, http://www.sunsmart.org.uk/UV-the-sun-and-skin-cancer/how-does-UV-cause-skin-cancer/how- does-UV-cause-skin-cancer