A hand-held medical device includes a housing, an electronic imager, and an optical system aligned with the electronic imager along an imaging axis of the device. An illumination system includes at least one light source for directing light towards a target of interest, as well as a display connected to the electronic imager and attached to the housing. A processor, disposed within the housing, is connected to the electronic imager, the illumination assembly and the display, and includes processing logic and data storage for storing a plurality of images.