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American Family Physician October 15, 2004 Stulberg, Crandell & Fawcett |
Diagnosis and Treatment of Basal Cell and Squamous Cell Carcinomas Rates of squamous cell and basal cell carcinomas have been increasing. Primary care physicians can expect to diagnose six to seven cases of basal cell carcinoma and one to two cases of squamous cell carcinoma each year.  |
American Family Physician July 15, 2000 Anthony F. Jerant |
Early Detection and Treatment of Skin Cancer The incidence of skin cancer is increasing by epidemic proportions...  |
American Family Physician April 1, 2002 Thomas J. Zuber |
Minimal Excision Technique for Epidermoid (Sebaceous) Cysts Epidermoid cysts are asymptomatic, dome-shaped lesions that often arise from a ruptured pilosebaceous follicle. The minimal excision technique for epidermoid cyst removal is less invasive than complete surgical excision and does not require suture closure...  |
American Family Physician October 1, 2002 Hainer & Usatine |
Electrosurgery for the Skin The purposes of electrosurgery are to destroy benign and malignant lesions, control bleeding, and cut or excise tissue. The major modalities in electrosurgery are electrodesiccation, fulguration, electrocoagulation, and electrosection.  |
American Family Physician November 15, 2003 Stulberg et al. |
Common Hyperpigmentation Disorders in Adults Part II: Melanoma... Seborrheic Keratoses... Acanthosis Nigricans... Melasma... Diabetic Dermopathy... Tinea Versicolor... Postinflammatory Hyperpigmentation  |
American Family Physician March 1, 2002 Gohar A. Salam |
Lipoma Excision Most lipomas are best left alone, but rapidly growing or painful lipomas can be treated with a variety of procedures ranging from steroid injections to excision of the tumor...  |
American Family Physician May 15, 2004 Mark D. Andrews |
Cryosurgery for Common Skin Conditions Cryosurgery is a highly effective treatment for a broad range of benign skin problems. With appropriate instruction and supervised experience, family physicians can master the technique quickly.  |
American Family Physician May 1, 2002 Thomas J. Zuber |
Dermal Electrosurgical Shave Excision The dermal electrosurgical shave excision is a fast and inexpensive method of removing epidermal and dermal lesions. The procedure is ideally suited for pedunculated lesions raised above the level of the surrounding skin...  |
American Family Physician March 15, 2002 Thomas J. Zuber |
Punch Biopsy of the Skin Skin biopsy is one of the most important diagnostic tests for skin disorders. Punch biopsy is considered the primary technique for obtaining diagnostic full-thickness skin specimens. It requires basic general surgical and suture-tying skills and is easy to learn...  |
American Family Physician September 1, 2000 |
Photo Quiz Friable Neoplasm During Pregnancy  |
American Family Physician July 15, 2001 Hsu, Le, & Khoshevis |
Differential Diagnosis of Annular Lesions Annular lesions are extremely common and striking in appearance but can also be misleading. Although most annular lesions will be typical of a dermatophytosis, physicians must consider other possible diagnoses.  |
American Family Physician February 15, 2007 Gonsalves et al. |
Common Oral Lesions: Part II. Masses and Neoplasia Physicians regularly encounter oral health issues in practice. Part I of this two-part series discusses superficial mucosal lesions such as candidiasis and herpes labialis. This article reviews common oral lesions that may appear as masses or represent neoplastic change.  |
American Family Physician September 1, 2002 Schwetschenau & Kelley |
The Adult Neck Mass Family physicians frequently encounter neck masses in adult patients. A careful medical history should be obtained, and a thorough physical examination should be performed.  |
American Family Physician July 15, 2005 Rager, Bridgeford & Ollila |
Cutaneous Melanoma: Update on Prevention, Screening, Diagnosis, and Treatment Melanoma is an increasingly common malignancy, and it affects a younger population than most cancers. Selective screening by physicians ultimately may be most effective at preventing the advance of the disease.  |
American Family Physician April 15, 2002 Rajani Katta |
Cutaneous Sarcoidosis: A Dermatologic Masquerader Sarcoidosis is a multisystem disease that may involve almost any organ system; therefore, it results in various clinical manifestations. Cutaneous sarcoidosis occurs in up to one third of patients with systemic sarcoidosis. Recognition of cutaneous lesions is important...  |
American Family Physician April 1, 2001 Beth G. Goldstein & Adam O. Goldstein |
Diagnosis and Management of Malignant Melanoma The incidence of malignant melanoma has increased in recent years more than that of any other cancer in the United States....  |
American Family Physician September 1, 2005 Bowen, White & Gerwels |
Mohs Micrographic Surgery Mohs micrographic surgery is a two-step, same-day skin cancer removal procedure aimed to achieve the highest possible rates of cure and to minimize the size of the wound.  |
Nurse Practitioner April 2009 Randy M. Gordon |
Skin cancer: More than skin deep Skin cancer is the most common carcinoma in the United States, affecting millions. One in five Americans and one in three whites will develop skin cancer in their lifetime.  |
American Family Physician May 1, 2005 Susan Klein |
Evaluation of Palpable Breast Masses Palpable breast masses are common and usually benign, but efficient evaluation and prompt diagnosis are necessary to rule out malignancy.  |
American Family Physician November 15, 2000 Richard L. Edman & Jonathan T. Wolfe |
Prevention and Early Detection of Malignant Melanoma In addressing the problem of malignant melanoma, family physicians should emphasize primary prevention...  |
American Family Physician April 1, 2003 Thomas J. Zuber |
Fusiform Excision The fusiform excision technique is commonly used by physicians for removing skin and subcutaneous lesions. The technique requires basic skills in anesthetic administration, lesion excision, and suture closure.  |
AskMen.com Jacob Franek |
Skin Growths Skin growths might look gross, but they aren't always harmful.  |
American Family Physician November 15, 2003 Stulberg et al. |
Common Hyperpigmentation Disorders in Adults Part I: Diagnostic Approach... Cafe au Lait Macules... Diffuse Hyperpigmentation... Sun Exposure... Phototoxic Reactions  |
American Family Physician January 15, 2001 James C. Higgins & James M. Fitzgerald |
Evaluation of Incidental Renal and Adrenal Masses Incidental renal or adrenal masses are sometimes found during imaging for problems unrelated to the kidneys and adrenal glands. Knowledgeable family physicians can reliably diagnose these masses, thereby avoiding unnecessary worry and procedures for their patients...  |
American Family Physician October 15, 2005 Nipa Shah |
Hidradenitis Suppurativa: A Treatment Challenge The clinical presentation of this chronic, recurrent, debilitating disease that presents with painful, inflamed lesions in the apocrine-gland-bearing areas of the body, indicates the diagnosis. A thorough history and physical examination are recommended at the initial visit.  |
American Family Physician April 1, 2002 |
Minimal Excision Technique for Removal of an Epidermoid Cyst What is an epidermoid cyst?... Where are epidermoid cysts commonly found on the body?... Are there any problems or complications associated with epidermoid cysts?... What is the minimal excision technique?... Is the minimal excision technique always successful in removing the cyst wall?...  |
American Family Physician December 15, 2004 Kodner & Nasraty |
Management of Genital Warts Genital warts caused by human papillomavirus infection are encountered commonly in primary care. Evidence guiding treatment selection is limited, but treatment guidelines recently have changed.  |
American Family Physician June 15, 2002 George J. Bitar |
Basal Cell Nevus Syndrome: Guidelines for Early Detection Basal cell nevus syndrome is an autosomal dominant condition with complete penetrance and variable expressivity. It is characterized by five major components.  |
Nurse Practitioner May 2010 Monica A. Beshara |
Hidradenitis suppurativa: A Clinician's Tool for Early Diagnosis and Treatment HS affects more women than men, and it can be very painful and disfiguring. NPs should be familiar with HS and understand the diagnostic process and treatments to provide the best outcomes for patients.  |
American Family Physician July 1, 2003 Omole et al. |
Management of Bartholin's Duct Cyst and Gland Abscess Bartholin's duct cysts and gland abscesses are common problems in women of reproductive age. The goal of management is to preserve the gland and its function if possible.  |
American Family Physician May 1, 2002 Kelly M. Bickle |
Autoimmune Bullous Dermatoses: A Review Bullous dermatoses can be debilitating and possibly fatal. A selection of autoimmune blistering diseases, including pemphigus vulgaris, paraneoplastic pemphigus, bullous pemphigoid, cicatricial pemphigoid, dermatitis herpetiformis and linear IgA dermatosis are reviewed...  |
American Family Physician September 15, 2002 W.F. Peate |
Occupational Skin Disease Work-related skin diseases account for approximately 50 percent of occupational illnesses and are responsible for an estimated 25 percent of all lost workdays. These dermatoses are often underreported because their association with the workplace is not recognized.  |
American Family Physician August 1, 2000 Ric Koler & Mary Mather |
Photo Quiz Evaluation of an Umbilical Lesion  |
American Family Physician August 15, 2000 Harry D. Mckinnon |
Evaluating the Febrile Patient with a Rash The differential diagnosis for febrile patients with a rash is extensive...  |
Nursing March 2010 Peg Gray-Vickrey |
Gathering pearls of knowledge for assessing older adults If you attended nursing school more than 10 years ago, you may have received limited education about gerontological nursing. But as baby boomers age, this is becoming an increasingly important area of nursing practice.  |
American Family Physician July 1, 2000 Manuel A. Garcia, M.D. Craig Eichler, M.D. |
Photo Quiz Diagnose this illness: A 90-year-old woman presented with a history of rash under her breasts (Figure 1) and axillae that progressively worsened over a period of two months. She described the eruption as red, irritated, painful and prone to bleeding...  |
American Family Physician December 15, 2001 Thomas J. Zuber |
Office Management of Digital Mucous Cysts Digital mucous cysts are solitary, clear, or flesh-colored nodules that develop on the dorsal digits between the distal interphalangeal joint and the proximal nail fold...  |
American Family Physician January 1, 2002 Mamta Fuloria & Shelley Kreiter |
The Newborn Examination: Part I. Emergencies and Common Abnormalities Involving the Skin, Head, Neck, Chest, and Respiratory and Cardiovascular Systems A careful examination at delivery helps the physician detect anomalies, birth injuries, and cardiorespiratory disorders that may compromise a newborn's successful adaptation to extrauterine life...  |
American Family Physician May 1, 2002 |
Dermal Electrosurgery Shave Excision What is dermal electrosurgery shave excision?... What are the benefits of a shave excision?... What type of anesthesia is used for this procedure?... What happens to the skin growth once it is removed?... Will the scar go away after this procedure?...  |
American Family Physician April 1, 2003 |
Fusiform Excision Procedure What is a fusiform excision biopsy?... Why don't you just cut a circle around the tumor to remove it?... Will I feel any pain during this procedure?... Are there any complications after this surgery?... etc.  |
American Family Physician November 15, 2003 Lucas & Cone |
Breast Cyst Aspiration The breast mass is a clinical problem commonly encountered by family physicians. Fine-needle and core biopsy techniques require training and cytopathologist support. In contrast, breast cyst aspiration using a 21- or 22-gauge needle is a simple, cost-effective, minimally invasive procedure.  |
American Family Physician October 1, 2000 Rochelle Scheib, M.D. |
Photo Quiz Diagnose this illness: Facial Masses  |
American Family Physician September 1, 2002 Milad Chrieki |
Echinococcosis -- An Emerging Parasite in the Immigrant Population Echinococcus tapeworms are parasites that infect dog species worldwide and occasionally are transmitted to humans. Most of the new human cases that are diagnosed in the United States each year occur in members of well-defined risk groups.  |
American Family Physician March 15, 2002 |
Punch Biopsy of the Skin What is punch biopsy?... What happens to the biopsy specimen once it is removed?... Are there any complications after punch biopsy?... What happens to the site where the piece of skin was removed?... How long before I will receive the results of the biopsy evaluation?...  |
American Family Physician July 1, 2006 Schwartz, Janusz & Janniger |
Seborrheic Dermatitis: An Overview Seborrheic dermatitis affects the scalp, central face, and anterior chest. Topical therapy primarily consists of antifungal agents and low-potency steroids.  |
American Family Physician October 15, 2001 Anne D. Walling |
Family Practice International Diabetes in Patients from the Indian Subcontinent... Diabetic Dermopathy... Managing Minor Wounds in Children... Tibialis Posterior Tendon Insufficiency...  |
American Family Physician March 1, 2002 |
What Are Lipomas? What Are Lipomas?... How do I know that what I have is a lipoma?... How are lipomas treated?...  |
AskMen.com Joshua Levine |
Skin Cancer And The Sun In 1998, the estimated new skin cancer cases in the U.S. were 30% more amongst men than women, and accounted for 50% more deaths for men.  |
Nursing Management March 2011 Sibbald et al. |
Tip the SCALE toward quality end-of-life skin care An expert panel was established to formulate a consensus statement on Skin Changes At Life's End (SCALE).  |
American Family Physician September 1, 2006 |
Melanoma: A Type of Skin Cancer Melanoma is a type of skin cancer. Most other skin cancers don't spread, but melanoma can spread through the whole body. If it is found early, it can be cured.  |