Procedural Pediatric Dermatology
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Autor: Krakowski , Dr. Andrew C.
Editura: LWW
Limba: Engleza
Nr. pagini: 520
Coperta: Paperback
Dimensiuni: 20.32 x 1.91 x 26.67 cm
An aparitie: 21 Dec. 2020
Description:
Many factors contribute to the challenge of performing dermatologic procedures in children including the use of different instruments, skin differences, patient and parental anxiety, pain management and anesthesia, and the need to optimize outcomes over the lifetime of the patient. Procedural Pediatric Dermatology is a first-of-its-kind reference that provides thorough, step-by-step instruction for over 100 dermatological procedures specific to the pediatric population. Using a multidisciplinary, practical approach, this unique title equips today’s clinicians to perform safe, effective care to children with guidelines and clinical pearls/tips for pre-, intra- and post-procedure strategies in addition to coding and insurance guidelines.
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Table of Contents:
SECTION I: Preprocedural Approach
1 Quality of Life
QUALITATIVE EXPERIENCE: WHAT CHILDREN, ADOLESCENTS, AND FAMILIES SAY
Children and Adolescent Perspective
Parental Perspective
Burden of the Treatment Versus Burden of the Condition
QUANTITATIVE EXPERIENCE: NUMERICAL MEASURING OF THE EFFECTS ON CHILDREN, ADOLESCENTS, AND FAMILIES
QUALITY OF LIFE INSTRUMENTS IN CLINICAL DERMATOLOGY
Purpose of Quality of Life Instruments
Target Population
TREATMENT TO IMPROVE QUALITY OF LIFE
RESOURCES FOR QUALITY OF LIFE INSTRUMENTS
2 Ethical Dilemmas
INTRODUCTION
Legal Definitions
CASE SCENARIOS
Uncooperative Child (Child’s Best Interest Conflicts with Child’s Dissent)
Authoritarian Parental Decision Conflicts With a Minor Patient’s Dissent
Parent Who Demands Unnecessary Medical Treatment Against the Dermatologist’s Best Judgment and Best Interests of the Child
Adolescent Demands Unreasonable Surgery That Conflicts With the Dermatologist’s Medical Judgment
Parent Refuses Dermatologist’s Recommended Treatment/Medical Judgment, Which Also Conflicts With Minor Patient’s Best Interests or Wishes
Parents Request a Particular Treatment for Punitive Reasons (Tattoo Removal)
Divorced Parents Disagree on Treatment for Their Child
Adolescent Request for Cosmetic Procedures Such as Neurotoxins and Fillers
3 Molecular and Cellular Differences Between Children and Adults
DEVELOPMENT AND AGING
WOUND HEALING
BIRTHMARKS
CONCLUSION
4 Billing and Coding in Procedural Pediatric Dermatology
INTRODUCTION
CURRENT PROCEDURAL TERMINOLOGY CODE PROCESS
CORRECT CODING AND GETTING PAID
EVALUATION/MANAGEMENT CODING ISSUES
Coding Evaluation/Management and Procedures When There Is One Diagnosis
“New” Visits to the Same Practice
PROCEDURAL CODING ISSUES
Biopsy Versus Removal or Excision
Skin Biopsy Coding
Site-Specific Biopsy Coding
Intermediate Versus Complex Repairs
Coding Procedures at Different Anatomic Site or by Different Techniques
Excision of Soft Tissue Tumors
Multimodal Procedural Treatment of Warts and Molluscum
Treatment of Atrophic Scars, Hypertrophic Scars, and Keloids
Laser Treatment of Vascular Proliferative Lesions
Use of “17999” Code
5 Surgical Procedure Room Setup
BEFORE SURGERY
MAINTAINING NORMOTHERMIA
PERIOPERATIVE ANTIBIOTICS
HAIR REMOVAL
PATIENT POSITIONING
SURGICAL LIGHTING
SURGICAL CHECKLIST
SKIN PREPARATION
DRAPING
SURGICAL INSTRUMENTS REQUIRED FOR MINOR PROCEDURES
SURGEON’S MENTAL PREPARATION
6 Antiseptics and Aseptic Technique
OVERVIEW
GUIDELINES TO PREVENT AND CONTROL INFECTION
Hand Hygiene
Environmental Infection Control
Disinfection and Sterilization
7 Surgical Instruments
INTRODUCTION
SCALPELS
FORCEPS
ELECTROCAUTERY INSTRUMENTS AND SUPPLIES
SCISSORS
HOOKS
CLAMPS
OTHER MISCELLANEOUS SURGICAL INSTRUMENTS
8 Sutures
SUTURE CHARACTERISTICS
Absorbable Versus Nonabsorbable Sutures
Size of Suture
Monofilament Versus Multifilament/Barbed or Unbarbed
Suture Memory
Composition and Tensile Strength
CHOOSING THE RIGHT SUTURE AND NEEDLE
Choice of Suture Strength
Choice of Suture Needle
Needle Dimensions (Figure 8.2)
Needle Point
OTHER CLOSURE MATERIALS
Surgical Staples
Cyanoacrylate Glue
Cyanoacrylate Glue With Mesh
Noninvasive Skin Closure Devices
9 Anatomy and Superficial Landmarks of the Head and Neck
INTRODUCTION
TOPOGRAPHY OF THE HEAD AND NECK
COSMETIC SUBUNITS AND FREE MARGINS
SUPERFICIAL MUSCULOAPONEUROTIC SYSTEM
MUSCLES OF FACIAL EXPRESSION
Forehead and Scalp
Eye
Mouth and Chin
VASCULATURE
SENSORY AND MOTOR INNERVATION OF THE HEAD AND NECK
Motor Innervation
Sensory Innervation
LYMPHATIC DRAINAGE
PERTINENT ANATOMY OUTSIDE OF THE HEAD AND NECK AREA
Gluteal Region
Nipples
Umbilicus
Median Raphe
SECTION II: Procedural Approach
10 Hemostasis
INTRODUCTION
HEMOSTASIS TECHNIQUES
General Principles
Topical Hemostatic Agents
Electrosurgery
Suture Techniques
SUMMARY
11 Simple Wound Repair
INTRODUCTION
PATIENT EVALUATION
ABC Assessment
Patient History
Wound Evaluation
PATIENT PREPARATION
Antimicrobial Treatment
Anesthesia
WOUND PREPARATION
Debridement
Irrigation
Wound Trimming
PRIMARY WOUND CLOSURE
Layered Repair
Suturing Techniques
Technique for Simple Interrupted Sutures
Simple Continuous or Running Suture Technique
Vertical Mattress Suture Technique
Technique for Horizontal Mattress Sutures
Technique for Running Subcuticular Sutures
Steri-Strips
Steri-Strip Application Technique
Staples
Staple Technique
Tissue Adhesives
FOLLOW-UP AFTER SIMPLE WOUND REPAIR
12 Complex Wound Repair
INTRODUCTION
GENERAL CONSIDERATIONS
GENERAL SURGICAL TECHNIQUE
WIDE UNDERMINING
LAYERED CLOSURE
ELLIPTICAL CLOSURE
LOCAL TISSUE FLAP
RHOMBOID FLAP
BILOBED FLAP
POSTOPERATIVE CONSIDERATIONS
13 Special Site Surgery
INTRODUCTION
SPECIAL CONSIDERATIONS IN PEDIATRICS
Pediatric Anatomic Growth
Patient Maturity
Aesthetic Considerations and Scarring
Functional Considerations
SURGICAL INTERVENTIONS OF THE SCALP
Age and Growth Considerations of the Scalp
Aesthetic Considerations of the Scalp
Functional Considerations of the Scalp
Surgical Considerations of the Scalp
SURGICAL PROCEDURES OF THE FACE AND NECK
Age and Growth Considerations
Aesthetic Considerations of the Face and Neck
Functional Considerations of the Face and Neck
Surgical Considerations of the Face and Neck
EAR
Age and Growth Considerations of the Ear
Aesthetic Considerations of the Ear
Functional Considerations of the Ear
Surgical Considerations of the Ear
HAND, UPPER EXTREMITY, AND NAIL BED
Age and Growth Considerations of the Hand and Upper Extremity
Aesthetic Considerations of the Hand and Upper Extremity
Functional Considerations of the Hand
Surgical Considerations of the Hand
Nail Bed
SURGICAL PROCEDURES IN THE EXTERNAL GENITALIA
Age and Growth Considerations of the External Genitalia
Aesthetic Considerations of the External Genitalia
Functional Considerations of the External Genitalia
Surgical Considerations of the External Genitalia
SURGICAL PROCEDURES IN THE PERIANAL REGION
Age and Growth Considerations of the Perianal Region
Aesthetic Considerations of the Perianal Region
Functional Considerations of the Perianal Region
Surgical Considerations of the Perianal Region
SURGICAL PROCEDURES OF THE FOOT
Age and Growth Considerations
Aesthetic Considerations
Functional Considerations of the Foot
Surgical Considerations of the Foot
14 Injectables
INTRODUCTION
CORTICOSTEROIDS
NEUROMODULATORS
FILLERS
WARTS
PSORIASIS
ANTIBIOTICS
INTERFERON-γ THERAPY AND 5-FLUOROURACIL THERAPY
15 Injectable Corticosteroids (Intralesional Kenalog, Intramuscular)
INTRODUCTION
INTRALESIONAL INJECTIONS
Contraindications/Cautions/Risks
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
INTRAMUSCULAR INJECTION
Preprocedural Approach
Procedural Approach
16 Cryosurgery
INTRODUCTION
CONTRAINDICATIONS
PREPROCEDURAL CONSIDERATIONS
SPECIFIC TECHNIQUES
PROCEDURAL APPROACH
POSTPROCEDURAL APPROACH
LESIONS FOR WHICH WE UTILIZE CRYOSURGERY
17 Electrosurgery/Hyfrecation
INTRODUCTION
ELECTROSURGICAL DEVICES
ELECTROSURGERY FOR SPECIFIC LESIONS
Benign Lesions
Malignant Lesions
18 Laser Surgery
INTRODUCTION
SELECTIVE PHOTOTHERMOLYSIS
COOLING
LASER TYPES
Millisecond Lasers
Quality-Switched Lasers
ABLATIVE AND NON-ABLATIVE LASER TREATMENTS
Ablative Lasers
Non-ablative Fractional Lasers
Ablative Fractional Lasers
LASER SAFETY
Eye Safety
MONITORING TISSUE RESPONSE AND CLINICAL ENDPOINTS
RISK OF INFECTION AND PROPHYLAXIS
ANESTHESIA CONSIDERATIONS
19 Laser Treatment of Vascular Lesions
INTRODUCTION AND HISTORY
VASCULAR LESIONS
PORT WINE BIRTHMARKS
Overview
Treatment
SPIDER ANGIOMAS
INFANTILE HEMANGIOMAS
Overview
Treatment
ANGIOFIBROMAS
20 Phototherapy and Photodynamic Therapy
Phototherapy
INTRODUCTION
Contraindications/Cautions/Risks
ULTRAVIOLET A1 AND ULTRAVIOLET B PHOTOTHERAPY
Preprocedural Approach: Ultraviolet B Therapy
Procedural Approach: Ultraviolet B Therapy
Pediatric Applications of Ultraviolet B
Adverse Events of Ultraviolet B
PSORALEN ULTRAVIOLET A
Preprocedural Approach: Psoralen Ultraviolet A
Procedural Approach: Psoralen Ultraviolet A
Pediatric Application of Psoralens to Ultraviolet A
Adverse Events of Psoralens to Ultraviolet A
Photodynamic Therapy
INTRODUCTION
ADVERSE EFFECTS OF PHOTODYNAMIC THERAPY
Preprocedural Approach: Photodynamic Therapy
Procedure Approach: Photodynamic Therapy
Postprocedural Approach: Photodynamic Therapy
PEDIATRIC APPLICATIONS OF PHOTODYNAMIC THERAPY
Oncologic Applications
Nononcologic Applications
21 Chemical Peels
INTRODUCTION
PREPROCEDURE PREPARATION
Patient Assessment
Priming
Immediate Patient Preparation and Anesthesia
TYPES OF CHEMICAL PEELS AND CHOOSING THE APPROPRIATE TREATMENT
Superficial Chemical Peels
Medium-Depth Chemical Peels
Deep Chemical Peel
POSTPROCEDURE CARE
COMPLICATIONS
22 Dermabrasion
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
23 Autologous Fat Transfer
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
SECTION III: Diagnostic-Specific Procedures
MANEUVERS
24 Acquired Keratoderma
OVERVIEW
Differential Diagnosis
Contraindications/Cautions
Procedural Approach
25 Aquagenic Wrinkling
INTRODUCTION
Contraindications/Cautions/Risks
Procedural Approach
26 Bacterial Culture
OVERVIEW
Contraindications/Cautions/Risks
Contraindications
Cautions
Procedural Approach
27 Dermatographism
Introduction
Contraindications/Cautions/Risks
Procedural Approach
28 Dermoscopy
Overview
Contraindications/Cautions/Risks
Procedural Approach
LESION-SPECIFIC FINDINGS
29 Fungal Culture
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Procedural Approach
NAIL
HAIR
Cotton-Tipped Applicator Method
Hairbrush Method
Toothbrush Method
SKIN
30 Hair Biopsy
Introduction
Contraindications/Cautions
Procedural Approach
31 Hair Pull Test
Introduction
Contraindications/Cautions/Risks
Contraindications
Hair Pull Test Procedure
32 Nail Matrix Biopsy
Introduction
Contraindications/Cautions/Risks
Cautions
Risks
Preprocedural Approach
Procedural Approach
PUNCH BIOPSY
MATRIX SHAVE BIOPSY
Postprocedural Approach
33 Patch Testing for Allergic Contact Dermatitis
INTRODUCTION
T.R.U.E. TEST® VERSUS COMPREHENSIVE PATCH TESTING
PREPATCH TEST COUNSELING
Procedural Approach
PEDIATRIC PATCH TESTING PROTOCOL
GRADING OF PATCH TEST REACTIONS
TREATMENT APPROACH TO POSITIVE TEST REACTIONS
34 Pinworm Examination
Introduction
Contraindications/Cautions/Risks
Procedural Approach
35 Polymerase Chain Reaction
Introduction
Contraindications/Cautions
Procedural Approach
36 Skin Biopsy Techniques
INTRODUCTION
BIOPSY SITE AND CHOICE OF BIOPSY TECHNIQUE
PATIENT PREPARATION AND PREPROCEDURE STRATEGIES
ANESTHESIA
BIOPSY PROCEDURAL TECHNIQUES
Labeling and Specimen Storage
Cessation of Bleeding, Wound Closure, and Wound dressing
AFTERCARE AND INSTRUCTIONS
37 Viral Culture
Introduction
Contraindications/Cautions
Contraindications
Cautions
Procedural Approach
38 Wood’s Lamp Skin Examination
Introduction
Contraindications/Cautions/Risks
Procedural Approach
MICROSCOPY
39 Demodex Examination
Introduction
Contraindications/Cautions/Risks
Procedural Approach
40 Hair Microscopy
Introduction
INFECTIOUS DISEASES OF THE HAIR
STRUCTURAL DEFECTS OF THE HAIR
TYPES OF FRACTURE OF THE HAIR
DISEASES OF THE HAIR BULB
DISEASES LEADING TO BANDING OF THE HAIR
Contraindications/Cautions
Procedural Approach
41 Immunofluorescence
Introduction
Contraindications/Cautions/Risks
Procedural Approach
DIRECT IMMUNOFLUORESCENCE
INDIRECT IMMUNOFLUORESCENCE
42 Fungal Examination or Potassium Hydroxide (KOH) Preparation
Introduction
Contraindications/Cautions/Risks
Procedural Approach
43 Scabies Examination
Introduction
Contraindications/Cautions/Risks
Procedural Approach
44 Tzank Smear
Introduction
Contraindications/Cautions
Procedural Approach
SECTION IV: Lesion-Specific Procedures
45 Abscess
Introduction
SEVERAL TECHNIQUES HAVE BEEN UTILIZED TO MANAGE ABSCESSES:
Contraindications/Cautions
Preprocedural Approach
Procedural Approach
Postprocedural Approach
46 Acanthosis Nigricans
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Procedural Approach #1—Long-Pulsed Alexandrite Laser
Postprocedural Approach #1
Procedural Approach #2—Combination Macro- and Microfractionated Carbon Dioxide Laser
Postprocedural Approach #2
47 Accessory Nipple
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Procedural Approach
48 Accessory Tragus
Introduction
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
49 Acne Comedones
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
50 Acne Cyst
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
51 Acne Scarring
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
LASER AND ENERGY DEVICES
Pulsed-Dye Laser
Ablative Fractional CO2 Laser
CHEMICAL PEELS
MICRONEEDLING
INJECTABLES
Postprocedural Approach
52 Acrochordons
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
53 Actinic Keratosis
Introduction
SPECIAL POPULATIONS AND SUN PROTECTION
TOPICAL THERAPY
CRYOTHERAPY
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
PHOTODYNAMIC THERAPY
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
54 Alopecia Areata
Introduction
TREATMENT APPROACHES
Contraindications/Cautions
Preprocedural Approach
Procedural Approach
Postprocedural Approach
55 Angiofibromas
OVERVIEW
Contraindications
Preprocedural Approach
Procedural Approach
Postprocedural Approach
56 Angiokeratoma
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
57 Angioma, Spider
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
58 Aplasia Cutis Congenita
Introduction
Contraindications/Cautions/Risks
Contraindications
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
59 Arthropod Bites and Stings
Introduction
USE OF EPINEPHRINE
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
TICK REMOVAL
STINGER REMOVAL
60 Basal Cell Carcinoma
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
61 Basal Cell Nevus Syndrome
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
62 Becker’s Nevus
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
63 Blister
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
VIRAL INFECTION
BACTERIAL INFECTION
FUNGAL INFECTION
ACQUIRED AUTOIMMUNE BULLOUS DERMATOSES
CONGENITAL BULLOUS DERMATOSES
TRANSIENT BULLOUS DISORDERS IN THE NEWBORN
Postprocedural Approach
64 Blue Rubber Bleb Syndrome
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
65 Burns
Introduction
Contraindications/Cautions/Risks
Intralesional Corticosteroids
Laser Therapy
Preprocedural Approach
Procedural Approach (See Table 65.2)
Silicone-Based Therapy
Intralesional Triamcinolone Acetonide
Laser Therapy
Surgery
POSTOPERATIVE APPROACH
66 Café au Lait Macules
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
67 Calcinosis Cutis
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
68 Callus
Introduction
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
69 Chalazion
Introduction
WARM COMPRESS TREATMENT
Contraindications/Cautions/Risks
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
INTRALESIONAL INJECTION
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
INCISION AND DRAINAGE OR EXCISION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
70 Circumcision Adhesions
Introduction
APPROACH #1: GENTLE TRACTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Procedural Approach
Postprocedural Approach
APPROACH #2: LYSIS
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
71 Condyloma Acuminatum
Introduction
Chemovesicants-Topical Immunotherapy
Contraindications/Cautions/Risks: Chemovesicants-Topical Immunotherapy
Contraindications
Cautions
Risks
Preprocedural Approach: Chemovesicants-Topical Immunotherapy
Procedural Approach: Chemovesicants-Topical Immunotherapy
Postprocedural Approach: Chemovesicants-Topical Immunotherapy
Cryosurgery of Genital Warts
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
Laser Treatments of Genital Warts
Contraindications/Cautions/Risks
Procedural Approach
Postprocedural Approach
Surgical Removal-Tangential Scissors Excision, Tangential Shave Excision, or Electrosurgery
Contraindications/Cautions/Risks
Caution
Risks
Procedural Approach
Postprocedural Approach
72 Cutaneous Larva Migrans (Creeping Eruption)
Introduction
Contraindications/Cautions/Risks
Contraindications
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
73 Depigmentation
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
SPECIFIC PROCEDURAL APPROACHES
Phototherapy
Phototherapy Preprocedural Approach
Procedural Approach
I. Narrow-Band Ultraviolet B
II. Excimer Laser (308-nm XeCl Laser)
Phototherapy Postprocedural Approach
MELANOCYTE TRANSFER PROCEDURES
I. Epidermal Grafting by Suction Blister
Preprocedural Approach
Procedural Approach
Postprocedural Approach
II. Melanocyte Keratinocyte Transfer Procedures
Preprocedural Approach
Procedural Approach
Postprocedural Approach
III. Punch Grafts
Preprocedural Approach
Procedural Approach
Postprocedural Approach
IV. Split-Thickness Skin Grafts
Preprocedural Approach
Procedural Approach
Postprocedural Approach
74 Dermal Melanocytosis (Mongolian Spot)
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
75 Dermatofibrosarcoma Protuberans
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preoperative Approach
Procedural Approach
Postprocedural Approach
76 Dermoid Cysts
Introduction
Contraindications/Cautions/Risks
Contraindications
Preprocedural Approach
Procedural Approach
Postprocedural Approach
77 Epidermal Inclusion Cysts and Pilar Cysts
Introduction
EPIDERMAL INCLUSION CYSTS
APPROACH #1: INTRALESIONAL CORTICOSTEROID
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
APPROACH #2: SURGICAL EXCISION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
APPROACH #3: MINIMAL INCISION TECHNIQUE
PILAR CYSTS
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
78 Epidermal Nevi
Introduction
PROCEDURE: ELECTRODESICCATION AND CURETTAGE
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
PROCEDURE: SURGICAL EXCISION
Contraindications/Cautions/Risks
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
PROCEDURE: CO2 LASER ABLATION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
79 Epidermolysis Bullosa
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risk
Preprocedural Approach
Procedural Approach
Postprocedural Approach
80 Epstein’s Pearl
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach—Incision and Drainage
Procedural Approach—Electrodesiccation
Postprocedural Approach
81 Fibroma (Subungal or Periungal)
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
82 Deep Fungal Infection
Introduction
Contraindications/Cautions/Risks
Contraindications
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
83 Granuloma Annulare
Brief Introduction of Condition
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preoperative Approach
Intraoperative Technique
Postoperative Approach
84 Infantile Hemangioma
Introduction
Contraindications/Cautions/Risks
Contraindications to Laser Therapy
Cautions
Risks
Preprocedural Approach
Procedural Approach—Pulsed-Dye Laser Treatment of Ulcerated Infantile Hemangioma
Procedural Approach—Pulsed-Dye Laser Treatment of Infantile Hemangioma or Associated Telangiectasia
Procedural Approach—Fractional Carbon Dioxide Treatment of Fibrofatty Residua
Procedural Approach—Surgical Excision of Infantile Hemangioma or Fibrofatty Residua
Postprocedural Approach
85 Hematoma
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
86 Hidradenitis Suppurativa (Acne Inversa)
Introduction
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
INTRALESIONAL TRIAMCINOLONE
UNROOFING AND MARSUPIALIZATION
INCISION AND DRAINAGE
EXCISION
LASER
Postprocedural Approach
FOR ALL PROCEDURES
UNROOFING AND MARSUPIALIZATION
INCISION AND DRAINAGE
EXCISION
LASER
87 Hyperhidrosis
OVERVIEW
Contraindications/Cautions/Risks
Cautions
Contraindications
Risks
Preoperative Approach
Intraoperative Technique
Postoperative Approach
88 Hyperpigmentation
Introduction
Contraindications/Cautions/Risks
Contraindications
Risks
Cautions
Preprocedural Approach
Procedural Approach
Postprocedural Approach
89 Hypertrichosis
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
90 Hypertrophic Scars and Contractures
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
RED PORTIONS OF SCAR
CHANGES IN TEXTURE/ELEVATION OF THE SCAR
SELECTING ABLATIVE FRACTIONAL LASER PARAMETERS
HYPERTROPHY
ATROPHY
CONTRACTURES
TEXTURAL ABNORMALITIES AND DYSCHROMIA
Postprocedural Approach
AFTER AFLS
AFTER PDL, NAFLS, AND 1064-NM LASER TREATMENTS
BETWEEN TREATMENTS
Case Example
91 Hypopigmentation
INTRODUCTION
Contraindications/Cautions/Risks
Relative or Absolute Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
92 Onychocryptosis (Ingrown Nail)
Introduction
Contraindications/Cautions/Risks
Cautions
Risks
Preoperative Approach
Procedural Approach
Postoperative Approach
93 Juvenile Xanthogranuloma
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
TREATMENT OF PRIMARY LESION: INTRALESIONAL CORTICOSTEROID
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
TREATMENT OF RESIDUAL ANETODERMA: CARBON DIOXIDE LASER
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
94 Keratosis Pilaris
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
95 Labial Adhesion
Introduction
Contraindications/Cautions/Risks
Preprocedural Approach
Topical Estrogen
Topical Corticosteroid
Procedural Approach: Surgical Separation
Postprocedural Approach
96 Laceration Repair
INTRODUCTION
Contraindications and Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
97 Lichen Planus
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
98 Lipoma
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Enucleation
Elliptical Excision
Closure
Postprocedural Approach
99 Lymphatic Malformations
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
100 Mastocytoma
INTRODUCTION
PROCEDURAL APPROACH #1: INTRALESIONAL INJECTION
Preprocedural Approach
Procedural Approach
Postprocedural Approach
PROCEDURAL APPROACH #2: SURGICAL EXCISION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
101 Median Raphe Cyst
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
102 Melanoma
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
103 Milium
INTRODUCTION
MANUAL EXTRACTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
104 Miliaria
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
105 Molluscum Contagiosum
PROCEDURAL APPROACH #1: MANUAL EXTRUSION
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
PROCEDURAL APPROACH #2: CRYOTHERAPY
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
PROCEDURAL APPROACH #3: CURETTAGE AND ELECTRODESICCATION
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
PROCEDURAL APPROACH #4: CANTHARIDIN APPLICATION
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
106 Mycosis Fungoides
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
107 Myiasis
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
APPROACH #1: OCCLUSION TECHNIQUE
APPROACH #2: MANUAL EXTRACTION
APPROACH #3: LARVICIDES
Postprocedural Approach
108 Neurofibromas
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
109 Nevi
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
MODALITY: SURGICAL
Approach #1: Standard Surgical Excisions
Approach #2: Serial Excisions
Approach #3: Skin Grafting
Approach #4: Tissue Expansion
MODALITY: LASERS
Postprocedural Approach
MODALITY: SURGICAL
MODALITY: LASER THERAPY
110 Nevus of Ota and Nevus of Ito
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
111 Nevus Sebaceous
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Scalp
Face
Trunk and Extremities
Postprocedural Approach
112 Nevus Simplex
INTRODUCTION
TREATMENT RECOMMENDATIONS
113 Pigmentary Mosaicism
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach: General
PROCEDURAL APPROACH #1: ENERGY BASED DEVICES
Preprocedural Approach: Energy Based Devices
GENERAL CONSIDERATIONS FOR ENERGY BASED DEVICES
Procedural Approach: Energy Based Devices
Postprocedural Approach: Energy Based Devices
PROCEDURAL APPROACH #2: EPIDERMAL GRAFTING
Preprocedural Approach: Epidermal Grafting
Procedural Approach: Epidermal Grafting
Postprocedural Approach: Epidermal Grafting
PROCEDURAL APPROACH #3: SURGICAL INTERVENTIONS
114 Pilomatricoma (Pilomatrixoma)
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
115 Port-Wine Birthmarks
Introduction
Contraindications/Cautions/Risks
Absolute Contraindications
Relative Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
116 Psoriasis
Introduction
PHOTOTHERAPY: NARROW BAND ULTRAVIOLET B (311-313 nm)
PHOTOTHERAPY: TARGETED EXCIMER LASER (308 nm) PHOTOTHERAPY
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
PROCEDURAL APPROACH: NARROWBAND ULTRAVIOLET B PHOTOTHERAPY
PROCEDURAL APPROACH: TARGETED PHOTOTHERAPY WITH EXCIMER LASER (308 NM)
Postprocedural Approach
INTRALESIONAL CORTICOSTEROID INJECTIONS
Contraindications/Cautions/Risks
Contraindications
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
117 Pyogenic Granuloma
Introduction
Treatment Recommendations
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
118 Perianal Pyramidal Protrusions
Introduction
Contraindications/Cautions/Risks
Preoperative Approach
Intraoperative Technique
Postoperative Approach
119 Rosacea
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
120 Scabies
Introduction
PROCEDURAL APPROACH #1: SCABIES PREPARATION FOR MICROSCOPIC EXAMINATION
PROCEDURAL APPROACH #2: DERMOSCOPY
PROCEDURAL APPROACH #3: PROPER TREATMENT
Postprocedure Environmental Management
121 Solitary Fibrous Hamartoma of Infancy
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
122 Squamous Cell Carcinoma
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
MOHS MICROGRAPHIC SURGERY
CONVENTIONAL SURGERY
Postprocedural Approach
123 Supernumerary Digits
Introduction
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
124 Tattoo Removal
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
125 Telangiectasia
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
126 Umbilical Granuloma
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
127 Venous Malformations
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
OTHER ASSOCIATED COMPLEX DISORDERS
128 Human Papillomavirus Wart (Verruca)
INTRODUCTION
I. TOPICAL APPROACHES
Approach #1: Salicylic Acid
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
Approach #2: Cantharidin
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
Approach #3: 5-Fluorouracil (Efudex)
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
Approach #4: Imiquimod
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
II. DESTRUCTIVE METHODS
Approach #1: Cryotherapy
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
Approach #2: Paring
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
Approach #3: Laser
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
III. IMMUNOTHERAPY
Approach #1: Intralesional Immunotherapy
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
Approach #2: Squaric Acid Dibutylester
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
Approach #3: Diphencyclopropenone
Contraindications/Cautions/Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
129 Vitiligo
Part I: Overview and Phototherapy and Excimer Laser Procedures
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Phototherapy using NB-UVB
Excimer Laser
Postprocedural Approach
Part II: Surgical Transplantation
INTRODUCTION
Contraindications/Cautions/Risks
Contraindications
Risks
Preprocedural Approach
Procedural Approach
Donor Area
Suspension Preparation
Recipient Area
Postprocedural Approach
130 Xeroderma Pigmentosum
Introduction
Contraindications/Cautions/Risks
Contraindications
Cautions
Risks
Preprocedural Approach
Procedural Approach
Postprocedural Approach
SECTION V: Postprocedural Approach
131 Wound Dressings
HISTORY OF WOUND CARE
WOUND DRESSINGS AND PROPERTIES
Alginate Dressings
Antimicrobial Dressings
Collagen and Hydrofiber Dressings
Hydrocolloid Dressings
Foam Dressings
Hydrogel Dressings
Gauze/Impregnated Gauze
Film Dressings
Retention Dressings
WHEN TO BANDAGE A WOUND
SELECTING A DRESSING
SIDE EFFECTS OF DRESSINGS
CONSIDERATIONS IN THE PEDIATRIC PATIENT
Patient/Family Education
Choice of Wound Care Products for the Pediatric Population
132 Wound Care and Optimizing Healing
WOUNDS ENCOUNTERED IN THE PEDIATRIC PATIENT
STAGES OF WOUND HEALING
WOUND ASSESSMENT
Chronic Versus Acute
Depth/Size of the Wound
Necrosis and Signs of Infection
Maintaining Moisture
OPTIMIZING WOUND HEALING
Use of Wound Dressings and Preparation for Dressings
TREATMENT OF WOUND COMPLICATIONS
Wound Infection
Necrosis
Hypergranulation Tissue
Chronic Wounds: Stalled or Delayed Wound Healing
ACKNOWLEDGMENTS
133 Postprocedure Antibiotics
INTRODUCTION
ASSESSING PROCEDURE SITES FOR POSSIBLE BACTERIAL INFECTION
EMPIRIC TREATMENT OF SUSPECTED BACTERIAL INFECTION
TREATING METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS
Adverse Reactions
134 Pain Management
INTRODUCTION
PAIN DEFINITION AND ASSESSMENT
PAIN AND ANXIETY MANAGEMENT
Preprocedure Planning for Reducing Anxiety and Pain
Pharmacologic Interventions
PROCEDURAL AND POSTPROCEDURAL SETTING
Nonpharmacologic Strategies for Pain/Anxiety
Pharmacologic Pain Management and Nonopioid Analgesics
Pharmacologic Pain Management and Opioid Analgesics
135 Photoprotection
SUNSCREEN
Important Tips Regarding Sunscreen and How/When to Apply
ORAL SUPPLEMENTATION
SUN-PROTECTIVE CLOTHING AND HATS
ENVIRONMENTAL AWARENESS
Ultraviolet Indicator Wristbands
SUN-SAFE EDUCATION IN SCHOOLS AND COMMUNITIES
STRATEGIES/POLICIES TO REDUCE CHILDREN’S SUN EXPOSURE
136 Surgical Complications
INTRODUCTION
ANESTHESIA
INTRAPROCEDURE AND POSTPROCEDURE BLEEDING
Genetic and Other Disorders
Medications and Vitamin Supplements
Strategies to Control Bleeding
Strategies for Hematoma
INFECTION
ALLERGIC CONTACT DERMATITIS
HYPERTROPHIC AND KELOIDAL SCARRING
137 Wet Wrap Therapy
DEFINITION AND EFFECTIVENESS
UTILIZATION OF WET WRAP THERAPY
EVIDENCE FOR USE OF WET WRAPS
PROCEDURE FOR WET WRAP THERAPY (Figure 137.1A-G)
PROCEDURE FOR PERFORMING WET WRAP THERAPY AT HOME
INPATIENT CONSIDERATIONS FOR WET WRAP THERAPY
RECOMMENDED FREQUENCY OF WET WRAP THERAPY
USE OF TOPICAL CORTICOSTEROIDS AND WET WRAP THERAPY
POTENTIAL COMPLICATIONS OF WET WRAP THERAPY
TREATMENT ENDPOINTS FOR WET WRAP THERAPY
WET WRAP THERAPY WEB RESOURCES
138 Bleach Baths
INTRODUCTION
ROLE OF SODIUM HYPOCHLORITE AS A CUTANEOUS DISINFECTANT
PROCEDURE FOR DILUTE BLEACH BATHS
ALTERNATIVES TO BLEACH BATHS
TOLERABILITY
STABILITY OF SOLUTION
RESOURCES
139 Patient and Family Resources
GENERAL PATIENT RESOURCES
CONDITION-SPECIFIC RESOURCES
Albinism
Alopecia Areata
Atopic Dermatitis/Eczema
Basal Cell Carcinoma Nevus Syndrome
Congenital Nevi (see Melanocytic Nevi)
Cutaneous T-Cell Lymphoma
Ectodermal Dysplasia
Ehlers–Danlos Syndrome
Epidermolysis Bullosa
Hemangiomas (see Vascular Anomalies)
Ichthyosis
Mastocytosis
Melanocytic Nevi
Melanoma (see Skin Cancers)
Morphea (see Scleroderma)
Neurofibromatosis
Pachyonychia Congenita
Pemphigus
Port Wine Birthmark (see Vascular Anomalies)
Pseudoxanthoma Elasticum
Psoriasis
Rosacea
Scleroderma
Skin Cancers
Tuberous Sclerosis
Vascular Anomalies
Vitiligo
Xeroderma Pigmentosum
Appendix Common Dilutions of Triamcinolone Acetonide (Kenalog)
Index
| An aparitie | 21 Dec. 2020 |
| Autor | Krakowski , Dr. Andrew C. |
| Dimensiuni | 20.32 x 1.91 x 26.67 cm |
| Editura | LWW |
| Format | Paperback |
| ISBN | 9781975112448 |
| Limba | Engleza |
| Nr pag | 520 |
| Versiune digitala | DA |
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