Dermatologic and Cosmetic Procedures in Office Practice E-Book
1. Auflage
Erschienen am 21. September 2011
544 Seiten
978-1-4557-2309-6 (ISBN)
Beschreibung
Dermatologic and Cosmetic Procedures in Office Practice, by Drs. Richard Usatine, John Pfenninger, Daniel Stulberg, and Rebecca Small, provides you with the clear, step-by-step guidance you need to provide these options to your patients. Full-color photographs and drawings in combination with high-definition narrated videos clearly demonstrate key procedures, including skin biopsies, cryosurgery, electrosurgery, botulinum toxin injections, and more. Access to the full text, and a downloadable image bank online at www.expertconsult.com make this an ideal reference for performing key dermatologic and cosmetic procedures in your practice.
- Access the fully searchable contents and downloadable image bank online at www.expertconsult.com.
- Incorporate key dermatologic and cosmetic procedures into your practice with coverage of using dermoscopy to more accurately detect skin cancer, the latest information on lasers, botulinum toxin injections and dermal fillers, the diagnosis and treatment of benign and malignant lesions, and more.
- See how to perform each procedure clearly from detailed, full-color photographs and drawings and step-by-step instructions.
- Maximize the value of providing dermatologic and cosmetic procedures with guidance on combination treatments as well as coding and billing details.
Alle Preise
Weitere Details
Weitere Ausgaben
Personen
Dr Usatine is a Professor of Family and Community Medicine and Dermatology and Cutaneous Surgery, as well as the founder and medical director of the University Health System Skin Clinic in San Antonio. He is the co-author of 10 medical/healthcare books and over 130 articles. He has won numerous teaching awards and loves teaching medical students to become compassionate doctors.
Dr. Usatine has been working with medical students to provide health care to homeless families and the medically underserved since 1984. Dr. Usatine was recognized in 2000 as the national recipient of the Humanism in Medicine Award, by the Association of American Medical Colleges.
Dr. Usatine is involved with numerous national education efforts and is a contributor to the Watch and Learn video library for the Journal of Family Practice Online. Since 2000, he has been chosen yearly by his peers to be included in The Best Doctors in America.
Dr. Usatine has been working with medical students to provide health care to homeless families and the medically underserved since 1984. Dr. Usatine was recognized in 2000 as the national recipient of the Humanism in Medicine Award, by the Association of American Medical Colleges.
Dr. Usatine is involved with numerous national education efforts and is a contributor to the Watch and Learn video library for the Journal of Family Practice Online. Since 2000, he has been chosen yearly by his peers to be included in The Best Doctors in America.
Inhalt
- Front cover
- Key Topics
- Front Matter
- Dermatologic and Cosmetic Procedures in Office Practice
- Copyright page
- Contributors
- Foreword
- Preface
- Acknowledgments
- Instructions for online access
- Table of contents
- Video Contents
- SECTION ONE: Getting Started
- Chapter 1: Preoperative Preparation
- Surgical Planning
- Scheduling of Complex Surgeries
- Preoperative Medical Evaluation
- Universal Precautions
- Medications
- Standby Medications and Equipment
- Preoperative Patient Preparation
- Sterile Technique
- Time-Out
- Conclusion
- References
- Chapter 2: Setting Up Your Office:
- Lighting
- Surgical Table, Stools, and Mayo Stands
- Hand Instruments
- Magnification Devices
- Protective Gear
- Medications and Chemicals
- Equipment
- Disposable Items
- Photographic Equipment
- What to Have in Each Exam Room
- Conclusion
- Resources
- Reference
- Chapter 3: Anesthesia
- Topical Anesthetics
- Topical Refrigerants/Cryoanesthesia
- Local Anesthesia by Injection
- Adverse Reactions
- Nerve Blocks
- Summary of Materials
- Conclusion
- References
- Chapter 4: Hemostasis
- Types of Hemostasis
- Chemical Hemostatic Agents
- Electrocoagulation
- Mechanical Hemostasis: Pressure and Sutures
- Physical Agents (Gelating Sponge)
- Conclusion
- Resources
- References
- Chapter 5: Suture Material
- History
- Wound Healing and Sutures
- Suture Material Properties
- Absorbable Sutures
- Nonabsorbable Sutures
- Needles
- Suture and Needle Selection
- Conclusion
- Resources
- References
- Chapter 6: Suturing Techniques
- Basic Skills
- Specific Suturing Techniques
- Suture Removal
- Alternative Suturing Techniques
- Learning the Techniques: Suggestions on How to Practice
- Conclusion
- References
- SECTION TWO: Basic Procedures
- Chapter 7: Laceration Repair
- Indications for Repair
- Contraindications for Repair
- Supplies and Equipment
- Preprocedure Patient Preparation
- Closure Technique
- Complications
- Postprocedure Patient Education
- Considerations for Specific Anatomic Repairs
- CPT/Billing Codes and ICD-9-CM Diagnostic Codes
- Conclusion
- Resources
- References
- Chapter 8: Choosing the Biopsy Type
- General Principles
- Choice of Site to Biopsy
- Is it cancer?
- Inflammatory Disorders
- Infiltrative Disorders
- Erythroderma
- Bullous Lesions
- Suspected Infectious Rash
- Considerations for Specific Anatomic Areas
- How to Submit A Specimen to the Lab
- Conclusion
- References
- Chapter 9: The Shave Biopsy
- Indications
- Contraindications
- Advantages of A Shave Biopsy
- Disadvantages of A Shave Biopsy
- Equipment
- Shave Biopsy: Steps and Principles
- Cutting the Shave Biopsy
- Suggestion for Learning the Shave Biopsy Technique
- Less Than Optimal Outcomes
- Making A Diagnosis
- Additional Examples for Shave Biopsy
- Coding and Billing Pearls
- Conclusion
- References
- Chapter 10: The Punch Biopsy
- Indications
- Relative Contraindications and Cautions
- Advantages of A Punch Biopsy
- Disadvantages of A Punch Biopsy
- Making A Diagnosis
- Equipment
- Choosing the Punch Size
- Choosing Whether to Suture the Punch Defect
- Punch Biopsy: Steps and Principles
- Cutting the Punch Biopsy
- Suggestion for Learning the Punch Biopsy Technique
- Specific Examples for Punch Biopsies
- Pemphigus
- Coding and Billing Pearls
- Conclusion
- Resources
- References
- Chapter 11: The Elliptical Excision
- Indications
- Contraindications
- Equipment
- The Elliptical Incision: Steps and Principles
- Notes on Infection
- Variations
- Alternatives to An Elliptical Excision
- Suggestions for Learning the Elliptical Excision Technique
- Coding and Billing Pearls
- Conclusion
- Resources
- References
- Chapter 12: Cysts and Lipomas
- Epidermal Inclusion Cysts and Variants
- Minimal Excision Technique
- Lipomas
- Incision and Pressure Method
- Examination and Pathology
- Punch (Enucleation) Technique
- Elliptical Excision of A Lipoma
- Complications of Lipoma Removal
- Digital Mucous (Myxoid) Cysts
- Coding and Billing Pearls
- Conclusion
- References
- Chapter 13: Flaps
- Terminology
- Use of Flaps Following Treatment of Malignant Tumors
- Contraindications
- Planning the Flap
- Advancement Flap
- Island Pedicle Flap
- Rotation Flap
- Transposition Flap
- Learning the Techniques
- Coding and Billing Pearls
- References
- Chapter 14: Electrosurgery
- Advantages of Electrosurgery
- Disadvantages of Electrosurgery
- Electrosurgery Versus Cryosurgery
- Electrosurgery Versus Scalpel
- Electrosurgery Versus Laser
- Equipment
- Accessories
- Indications for Use of Electrosurgery
- Contraindications
- Electrosurgical Techniques: General Principles
- Safety Measures with Electrosurgery
- Treating Specific Lesions
- Electrodesiccation and Curettage
- Learning the Techniques
- Coding and Billing Pearls
- Conclusion
- References
- Chapter 15: Cryosurgery
- Indications
- Contraindications
- Advantages of Cryosurgery
- Disadvantages of Cryosurgery
- Equipment for Liquid Nitrogen
- Cryosurgery: Principles and Getting Started
- Cryosurgery Methods
- Complications
- Treating Specific Lesions
- Learning the Techniques
- Aftercare
- Coding and Billing Pearls
- Conclusion
- References
- Chapter 16: Intralesional Injections
- Indications
- Contraindications
- Equipment
- Informed Consent
- Steroid Strength
- Treating Specific Lesions
- Complications of Steroid Injections
- Candida Antigen and Bleomycin Intralesional Injections
- Aftercare for All Intralesional Injections
- Coding and Billing Pearls
- References
- Chapter 17: Incision and Drainage
- Indications
- Contraindications and Cautions
- Advantages of Incision and Drainage
- Disadvantages Of Incision And Drainage
- Equipment
- Incision and Drainage: Steps and Principles
- Aftercare
- Paronychia
- Complications
- Treating Specific Lesions
- Special Populations
- Coding and Billing Pearls
- Conclusion
- References
- Chapter 18: Nail Procedures
- Anatomy Of The Nail Unit
- Nail Procedures
- Equipment
- Nail Procedures: Common Steps
- Partial Nail Plate Excision
- Destruction Of Nail Matrix
- Full Nail Plate Removal (Nail Avulsion)
- Biopsies To Diagnose Pigmented Nail Changes
- Treating Other Types Of Lesions
- Complications
- Aftercare
- Coding And Billing Pearls
- Conclusion
- Resources
- References
- Additional Reading
- SECTION THREE: Cosmetic Procedures
- Chapter 19: Aesthetic Principles and Consultation
- Facial Aging
- Skin Anatomy
- Aesthetic Consultation
- Laser Treatment Principles
- Laser Parameters
- Laser Safety
- Skin Resurfacing
- Aesthetic Procedures: Getting Started
- Resources
- References
- Additional Reading
- Chapter 20: Anesthesia for Cosmetic Procedures
- Injectable Anesthetics
- Topical Anesthetics
- Contact Cooling
- Analgesic Devices
- Conclusion
- Resources
- References
- Chapter 21: Botulinum Toxin
- Cosmetic Indications
- Alternative Therapies
- Products Currently Available
- Contraindications
- Advantages of Botulinum Toxin
- Disadvantages of Botulinum Toxin
- Anatomy
- Equipment
- Reconstitution
- Handling and Storage
- Procedure Preparation
- Botulinum Toxin: Steps and Principles
- Frown Lines
- Horizontal Forehead Lines
- Crow's Feet
- Results and Follow-Up
- Aftercare
- Complications
- Learning the Techniques
- Current Developments
- Financial Considerations
- Conclusion
- Resources
- References
- Chapter 22: Chemical Peels
- Patient Selection
- Indications
- Alternative Therapies
- Products Currently Available
- Contraindications
- Advantages of Superficial Chemical Peels
- Disadvantages OF Superficial Chemical Peels
- Anatomy
- Equipment
- Procedure Preparation
- Very Superficial Chemical Peels: Steps and Principles
- Results
- Aftercare
- Follow-Up
- Advanced Chemical Peeling
- Complications
- Learning the Techniques
- Financial Considerations
- Conclusion
- Resources
- References
- Chapter 23: Microdermabrasion
- Patient Selection
- Cosmetic Indications1
- Alternative Therapies
- Microdermabrasion Devices Currently Available
- Contraindications1
- Advantages of Microdermabrasion
- Disadvantages of Microdermabrasion
- Anatomy
- Equipment
- Procedure Preparation
- Microdermabrasion: Steps and Principles
- Results
- Aftercare
- Follow-Up
- Advanced Microdermabrasion
- Complications
- Treating Specific Lesions
- Learning the Techniques
- Current Developments
- Financial Considerations
- Conclusion
- Resources
- References
- Chapter 24: Skin Care Products
- Dry Skin (Xerosis)
- Photoaging
- Hyperpigmentation
- Preprocedure and Postprocedure Products
- Conclusion
- Resources
- References
- Chapter 25: Dermal Fillers
- Cosmetic Indications
- Alternative Therapies
- Products Currently Available
- Contraindications
- Advantages of Dermal Fillers
- Disadvantages of Dermal Filler
- Anatomy
- Equipment
- Handling and Storage
- Procedure Preparation
- Dermal Filler Treatment for Nasolabial Folds: Steps and Principles
- Results
- Aftercare
- Follow-Up
- Complications
- Learning the Techniques
- Current Developments
- Financial Considerations
- Conclusion
- Resources
- References
- Chapter 26: Hair Reduction with Lasers
- Laser Principles
- Patient Selection
- Indications
- Patient Expectations
- Alternative Therapies
- Products Currently Available
- Contraindications
- Advantages of LHR
- Disadvantages of LHR
- Anatomy
- Equipment
- Procedure Preparation
- Laser Hair Reduction: Steps and Principles7
- Results
- Aftercare
- Follow-Up
- Complications
- Special Populations
- Learning the Techniques
- Current Developments
- Financial Considerations
- Conclusion
- Resources
- References
- Chapter 27: Photorejuvenation with Lasers
- Laser Principles
- Patient Selection
- Indications
- Patient Expectations
- Alternative Therapies
- Products Currently Available7-11
- Contraindications
- Advantages of Photorejuvenation
- Disadvantages of Photorejuvenation
- Anatomy
- Equipment
- Procedure Preparation
- Laser Photorejuvenation: Steps and Principles
- Results
- Aftercare
- Follow-Up
- Complications
- Treating Specific Lesions/Areas
- Learning the Technique
- Current Developments
- Financial Considerations
- Conclusion
- Resources
- References
- Chapter 28: Wrinkle Reduction with Nonablative Lasers
- Laser Principles and Devices Currently Available
- Patient Selection
- Indications
- Alternative Therapies
- Products Currently Available
- Contraindications
- Advantages of Nonablative Lasers for Wrinkles
- Disadvantages of Nonablative Lasers for Wrinkles
- Anatomy
- Equipment
- Procedure Preparation
- Nonablative Lasers for Wrinkles: Steps and Principles
- Results
- Aftercare
- Follow-Up
- Complications
- Treating Specific Lesions/Areas
- Learning the Technique
- Current Developments
- Financial Considerations
- Conclusion
- Resources
- References
- Chapter 29: Skin Resurfacing with Ablative Lasers
- Laser Principles
- Patient Selection
- Indications9,10
- Alternative Therapies
- Products Currently Available
- Contraindications
- Advantages of Laser Resurfacing
- Disadvantages of Laser Resurfacing
- Anatomy
- Equipment
- Procedure Preparation
- Fractional Ablative Laser Resurfacing: Steps and Principles
- Results
- Aftercare
- Follow-Up
- Complications
- Treating Specific Lesions/Areas
- Learning the Techniques
- Financial Considerations
- Conclusion
- Resources
- References
- Chapter 30: Tattoo Removal with Lasers
- Tattoo Anatomy
- Laser Principles
- Patient and Tattoo Selection
- Indications
- Alternative Therapies
- Products Currently Available
- Contraindications8
- Advantages of Laser Tattoo Removal
- Disadvantages of Laser Tattoo Removal
- Equipment
- Procedure Preparation
- Laser Tattoo Removal: Steps and Principles
- Results
- Aftercare
- Follow-Up
- Complications
- Treating Specific Lesions
- Learning the Techniques
- Current Developments
- Financial Considerations
- Conclusion
- Resources
- References
- Chapter 31: Combination Cosmetic Treatments
- Botulinum Toxin and Dermal Fillers
- Botulinum Toxin and Skin Resurfacing
- Combining Treatments with Lasers
- Conclusion
- References
- SECTION FOUR: Putting it All Together
- Chapter 32: Dermoscopy
- Advantages of and Evidence for Dermoscopy
- Equipment
- Principles of Dermoscopy
- Two-Step Dermoscopy Algorithm
- Pattern Analysis
- Scabies
- Conclusion
- Resources
- References
- Chapter 33: Procedures to Treat Benign Conditions
- Acne Surgery
- Acrochordons (Skin Tags)
- Angiomas/Angiokeratomas/ANGIOFIBROMAS
- Chondrodermatitis Nodularis Helicis
- Cutaneous Horn
- Dermatofibromas
- Keloids and Hypertrophic Scars
- Lentigines (Solar)
- Milia
- Molluscum Contagiosum
- Mucocele
- Nevi
- Neurofibromas
- Pilomatricoma
- Pyogenic Granuloma (Lobular Capillary Hemangioma)
- Sebaceous Hyperplasia
- Seborrheic Keratoses and Dermatosis Papulosa Nigra
- Syringomas
- Telangiectasias and Spider Angiomas
- Trichoepithelioma
- Warts, Common
- Warts, Filiform
- Warts, Flat
- Warts, Plantar
- Warts, Venereal (Condyloma Acuminata)
- Xanthelasma
- LESS COMMON BENIGN ADNEXAL TUMORS
- Conclusion
- References
- Chapter 34: Diagnosis and Treatment of Malignant and Premalignant Lesions
- Actinic Keratoses, Actinic Cheilitis, and Bowen's Disease
- Basal Cell Carcinoma
- Squamous Cell Carcinoma
- Keratoacanthoma
- Melanoma
- Cutaneous T-Cell Lymphomas (Including Mycosis Fungoides)
- Dermatofibrosarcoma Protuberans
- Merkel Cell Carcinoma
- Coding and Billing Pearls
- Conclusion
- Resources
- References
- Chapter 35: Wound Care
- Wound Healing Phases
- Types of Wounds
- Dressings
- Wound Care
- Postoperative Wound Care Patient Instructions
- Special Locations
- Complications and How to Avoid Them
- Conclusion
- Acknowledgments
- References
- Chapter 36: Complications:
- Review of the Literature
- Pain
- Bleeding
- Swelling and Bruising
- Infection
- Scarring
- Wound Dehiscence
- Hypopigmentation
- Flap Necrosis
- Nerve Damage
- Recurrence of a Lesion or Skin Cancer
- Making Mistakes
- Conclusion
- References
- Chapter 37: When to Refer/Mohs Surgery
- When to Refer
- Mohs Surgery
- Radiation
- Conclusion
- References
- Chapter 38: Surviving Financially
- Essentials for Proper Coding and Billing
- Specific CPT Codes: Office Visits
- Cosmetic Versus Medical Removals
- Purchasing Equipment
- Cosmetic Procedure Financial Considerations
- Cosmetic Practice Financial Pearls
- Summary Tips
- Resources
- References
- Appendices
- A: Consent Forms and Patient Education Handouts
- B: Supply Sources for Lasers
- Contact Information
- C: Procedures to Consider for Benign, Premalignant and Malignant Conditions
- D: CPT Codes for Dermatology Procedures
- Index
