An elderly, male patient has come in for an annual physical. He is walking slowly with a cane and is worried about an unusual looking spot on his chest. As you prepare him for his physical, what are some of the challenges that you may encounter? Also, how would you communicate with him about the spot on his chest he is worried about? What are some of the tests the doctor may order as part of a routine physical? If a referral is necessary for the lesion on the patient's chest, what type of doctor would he be referred to?