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Ep453 ewma p
1.
Diagnosing cancer in recurring ulcers using Telemedicine Introduced by: Merete Hartun Jensen (DH,RN) Lisbeth Vorbeck (RN) Anne‐Mette Rølling (RN) Copenhagen Wound Healing Centre (CWHC) CWHC
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Telemedicine is mostly used over distance, or when there is a lack of specialists emedicine at CWHC is used for communication between: The patient, nurses in primary sector, GP´s and wound
3.
e district nurses send data and pictures of their patients chronic wounds
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Wound specialists at CWHC receive data This looks suspicious! Do you agree? ‐ I totally agree! ‐We must see this patient soon and take a biopsy.
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• Clinical investigation is made •A biopsy is taken • A new appointment is made to discuss test results At CWHC
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patients, referred by telemedicine, were called to ther examination at CWHC outpatient clinic lcers was atypically looking and a biopsies were taken 4 of these cases basal‐cell carcinomer or planocelluar rcinoma was diagnosed 2012
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alignant skin changes are common in chronic ulcers1 rly diagnose is vital in management of carcinomas, sociated with chronic non healing ulcers2 alignancy should be considered in ulcers that are ypical, deteriorating or not responding to conventional erapy after a few months3 eviews and studies show:
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tients are seen sooner then before by a specialist cause of the fast referral procedure by telemedicine an ulcer looks atypical the patient is seen in the tpatient clinic and a biopsy is taken lemedicine can help to diagnose chronic ulcers ey Points
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e four patients with carcinoma had seemingly ignificant recurrent ulcers or to telemedicine these patients would not have been erred to a wound specialist because of the wounds size d history emedicine is valuable as a communication tool s new referral procedure using telemedicine makes it onclusion:
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Copenhagen Wound Healing Centre Thank you for your attention Fell free to contact us if you have any questions Wounddk.Bispebjerg@RegionH.dk
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