When I went for my first dermatological exam, the doctor looked at red spots on my hands and said they were actinic keratosis. Then she said where is my liquid nitrogen lets get rid of them. I said wait, aren't you going to examine the rest of my body? Also what are my treatment options. She spend maybe 10 minutes with me. She wrote a prescription for Efudex 5 percent, but didn't really discuss what was the best option. On doing research I learned that the liquid nitorgen leaves white scars, but that the Efudex makes the skin very red and irritated. I have very sensitive skin because I am prone to have ezcema. So far I haven't filled the prescription. I have had these red spots for years and do want to treat them, but really do not feel confident in the doctor. I am thinking of trying a different doctor, but I want to know what I need to look for in an examination.