Dermatology Skills For Primary Care: An Illustrated Guide (Current Clinical Practice Series) (Current Clinical Practice)

Dermatological clinical skills, unlike the diagnostic skills in other branches of medicine, are generally neglected in medical schools and take a long time to master, even though skin problems comprise 20-30% of primary care visits. In Dermatology Skills for Primary Care: An Illustrated Guide, a widely experienced dermatologist (Dr. Trozak) and two family physicians (Drs. Tennenhouse and Russell) seek to correct this deficiency by teaching the basic diagnostic and therapeutic skills used by dermatologists and demonstrating their application in daily practice. Using extensive illustrations and an excellent library of color photographs, the authors provide an overview of basic skills and cover 33 common dermatological conditions encountered by primary care clinicians every day. Writing in a simple, logical style clearly understandable to the nondermatologist, they discuss the full range of dermatological disorders, such as dimple warts, rosacea, scabies, erythrasma, epidermal/dermal lesions, freckles, moles, malignant melanoma, common skin cancers, shingles, acne, and atopic dermatitis, among others. Up to date and comprehensive, Dermatology Skills for Primary Care: An Illustrated Guide offers clinicians an authoritative and easy-to-use resource that will not only improve basic dermatological skills, but will also provide the broader foundation clinicians need when managing troubling skin disorders. Cover......Page 1 Series Editor’s Introduction......Page 6 Preface......Page 7 About the Authors......Page 8 Contents......Page 9 Part I: Basic Skills......Page 11 APPLICATION GUIDELINES......Page 12 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 13 CLINICAL APPLICATION QUESTIONS......Page 16 APPLICATION GUIDELINES......Page 17 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 35 APPLICATION GUIDELINES......Page 37 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 43 CLINICAL APPLICATION QUESTIONS......Page 45 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 54 Part II: Papular, Papulosquamous, and Papulo-Vesicular Skin Lesions......Page 55 APPLICATION GUIDELINES......Page 56 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 62 APPLICATION GUIDELINES......Page 63 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 69 APPLICATION GUIDELINES......Page 70 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 77 APPLICATION GUIDELINES......Page 79 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 83 APPLICATION GUIDELINES......Page 85 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 92 APPLICATION GUIDELINES......Page 94 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 100 APPLICATION GUIDELINES......Page 102 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 105 APPLICATION GUIDELINES......Page 106 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 112 Part III: Epidermal, Dermal, and Epidermal/Dermal Lesions......Page 113 APPLICATION GUIDELINES......Page 114 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 117 CLINICAL APPLICATION QUESTIONS......Page 118 APPLICATION GUIDELINES......Page 119 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 130 APPLICATION GUIDELINES......Page 131 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 141 APPLICATION GUIDELINES......Page 142 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 145 APPLICATION GUIDELINES......Page 147 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 153 APPLICATION GUIDELINES......Page 154 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 161 Part IV: Epidermal and Dermal Lesions, Eczematous Lesions, and Atrophies......Page 162 CLINICAL APPLICATION QUESTIONS......Page 163 APPLICATION GUIDELINES: DISCOID LUPUS ERYTHEMATOSUS (CUTANEOUS LUPUS ERYTHEMATOSUS)......Page 164 APPLICATION GUIDELINES: SUBACUTE CUTANEOUS LUPUS ERYTHEMATOSUS......Page 169 APPLICATION GUIDELINES: SYSTEMIC LUPUS ERYTHEMATOSUS......Page 172 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 176 CLINICAL APPLICATION QUESTIONS......Page 178 APPLICATION GUIDELINES......Page 179 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 183 CLINICAL APPLICATION QUESTIONS......Page 185 APPLICATION GUIDELINES......Page 186 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 197 APPLICATION GUIDELINES......Page 199 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 204 APPLICATION GUIDELINES......Page 205 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 207 APPLICATION GUIDELINES......Page 209 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 214 Part V: Pigmented, Pre-Malignant, and Common Malignant Skin Lesions......Page 216 APPLICATION GUIDELINES......Page 217 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 221 APPLICATION GUIDELINES......Page 223 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 224 APPLICATION GUIDELINES......Page 226 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 229 CLINICAL APPLICATION QUESTIONS......Page 231 APPLICATION GUIDELINES: ACQUIRED MELANOCYTIC NEVI (MOLES)—COMMON BENIGN NEVI......Page 232 APPLICATION GUIDELINES: ACQUIRED MELANOCYTIC NEVI (MOLES)—HALO NEVI (SUTTON’S NEVI)......Page 237 APPLICATION GUIDELINES: ACQUIRED MELANOCYTIC NEVI (MOLES)—ATYPICAL NEVI AND ATYPICAL NEVUS SYNDROMES......Page 239 APPLICATION GUIDELINES: CONGENITAL MELANOCYTIC NEVI AND ACQUIRED “CONGENITAL PATTERN” MELANOCYTIC NEVI......Page 243 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 249 APPLICATION GUIDELINES......Page 251 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 265 APPLICATION GUIDELINES......Page 267 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 272 APPLICATION GUIDELINES......Page 273 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 277 APPLICATION GUIDELINES: BASAL CELL CARCINOMA (BASAL CELL EPITHELIOMA)......Page 278 APPLICATION GUIDELINES: SQUAMOUS CELL CARCINOMA OF SKIN......Page 284 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 288 Part VI: Vesiculo-Bullous and Papulo-Pustular Disorders......Page 290 APPLICATION GUIDELINES......Page 291 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 297 APPLICATION GUIDELINES......Page 298 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 306 APPLICATION GUIDELINES......Page 308 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 316 APPLICATION GUIDELINES......Page 318 ANSWERS TO CLINICAL APPLICATION QUESTIONS......Page 330 Appendix A: Table of Primary Lesions and Related Disorders......Page 332 Appendix B: Table of Secondary Lesions and Related Disorders......Page 335 Part I: Color Photographs......Page 339 Part II: Color Photographs......Page 349 Part III: Color Photographs......Page 358 Part IV: Color Photographs......Page 365 Part V: Color Photographs......Page 375 Part VI: Color Photographs......Page 386 Index......Page 394 Specific History -- Dermatologic Physical Examination -- Indicated Supporting Diagnostic Data -- Therapy -- Molluscum Contagiosum (dimple Warts) -- Verruca Vulgaris (common Warts) -- Seborrheic Dermatitis (dandruff) -- Pityriasis Rosea -- Psoriasis Vulgaris -- Lichen Planus -- Miliaria Rubra (prickly Heat) -- Scabies -- Erythrasma -- Tinea (superficial Fungi, Dermatophytosis, Ringworm) -- Urticaria (urticaria Simplex, Common Hives) -- Fixed Drug Eruption -- Erysipelas/cellulitis -- Erythema Multiforme -- Lupus Erythematosus -- Toxicodendron Dermatitis (poison Oak, Poison Ivy, Poison Sumac; Also Known As Rhus Dermatitis). Atopic Dermatitis (atopic Eczema, Disseminated Neurodermatitis -- Besnier's Prurigo) -- Asteatotic Eczema (xerosis, Xerotic Eczema, Eczema Craquelé, Eczema Cannalé, Eczema Hiemalis, Winter Itch) -- Senile Purpura (bateman's Purpura) -- Striae Distensae (striae Atrophicans, Striae Gravidarum, Stretch Marks) -- Seborrheic Keratosis (old Age Spots, Liver Spots) -- Ephelides (freckles) -- Lentigines -- Melanocytic Nevi -- Malignant Melanoma -- Actinic Keratosis (solar Keratosis) -- Keratoacanthoma (molluscum Sebaceum) -- Common Skin Cancers -- Impetigo (impetigo Contagiosa) -- Herpes Simplex Recidivans (herpes Labialis, Cold Sores, Fever Blisters Herpes Genitalis). Herpes Zoster (shingles) -- Acne Vulgaris (acne, Zits) -- Rosacea (acne Rosasea). By Daniel J. Trozak, Dan J. Tennenhouse, John J. Russell. Includes Bibliographical References And Index. The diagnosis and treatment of common dermatologic problems is a critical area of skill and knowledge for primary care physicians. According to the US Department of 1 Health and Human Services, patients present to their physicians a skin rash as their chief concern for nearly 12 million office visits each year. In 73% of these office visits, patients see their internist, family physician, or pediatrician. In this respect, astonishingly, primary care clinicians see far more skin disease in their offices than dermatologists. Dermatology Skills for Primary Care: An Illustrated Guide advances the targeted skill and knowledge base of primary care physicians, as well as the collaboration between dermatologists and primary care physicians, by its wise choice of organization, scope, and approach. Dermatology Skills for Primary Care: An Illustrated Guide by Drs. Trozak, Tennenhouse, and Russell is an important addition to the dermatology literature because it has been written collaboratively by a skilled dermatologist and two excellent academic family physicians. As such, the book superbly targets the depth and scope of needs of primary care practitioners in the field of dermatology. This illuminating review of the basic diagnostic and therapeutic skills used by dermatologists comprehensively demonstrates for primary care clinicians their application in daily practice. Using extensive illustrations and an excellent library of color photographs, the authors provide an overview of basic skills and cover 33 common dermatological conditions encountered every day. Dermatology Skills for Primary Care offers clinicians an authoritative and easy to use resource that will not only improve basic dermatological skills, but also provide the broader foundation clinicians need when managing troubling skin disorders.