### Patient: Doctor, I have noticed some changes in my skin. It's becoming dry and rough. There are some reddish spots and also a lump that has recently appeared. What could be the problem?
### Doctor: Based on your symptoms, I would recommend a complete physical skin exam performed (ML) to evaluate the overall condition of your skin. Additionally, taking a biopsy and excision (removal) of the lump for a lab examination would be necessary. We also need to perform other diagnostic procedures on skin and subcutaneous tissue to determine the underlying condition of your skin. Moreover, I will recommend a lipid panel to assess your cholesterol levels and wound care management for the new lump excision.