Procedural Pediatric Dermatology
14%

Procedural Pediatric Dermatology

870 Lei 750 Lei(TVA inclus)
Livrare gratis la comenzi peste 500 RON. Pentru celelalte comenzi livrarea este 20 RON.

Cod produs/ISBN: 9781975112448

Disponibilitate: La comanda in aproximativ 4 saptamani

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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