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Dermatology Practice Today

Happy Thanksgiving
November 28, 2014 9:11 AM by Amy Gouley
Preparing for this week's Thanksgiving feast and the arrival of numerous family members has consumed my every thought for the past week. Finally, everyone is napping and I have a free moment to reflect on things that I am thankful for. How many people Read More...
Visual Dermatology Clinic: Malignant Melanoma
November 17, 2014 1:44 PM by Amy Gouley
82 year old Female presented for her total body skin screening and this 0.7cm irregular shaped hyperpigemented macule with variegating colors of pink and brown. The patient could not recall how long she had lesion. The forearm was confirmed a Melanoma. Read More...
Q& A with Dr. Debra: More on Rashes
November 6, 2014 1:37 PM by Debra Shelby
When starting in dermatology, most people look for the dermatology books with pictures and treatment. However, some skip the step of understanding what is happening in the skin and the reason for the morphology seen. Once again, I will recommend the Principles Read More...
Q & A with Dr. Debra: Now You Are Speaking My Language
October 23, 2014 2:11 PM by Debra Shelby
I always compare the "language" of dermatology to visiting a foreign country: if you don't speak the same language, you stand out to people as an outsider. It's the same with using the correct terms when practicing dermatology. Describing lesions and Read More...
Visual Dermatology Clinic: Nevus Sebaceous
October 16, 2014 10:27 AM by Amy Gouley
This 41-year-old navy pilot patient presented to our clinic stating his wife says a mole on his nose is changing. The lesion appeared in the man's mid 20's along with some "uneven skin" on his forehead. The patient denies pain or discharge but does report Read More...
Visual Dermatology Clinic: Nation's Largest Free Health Clinic Pt. II
October 3, 2014 1:08 PM by Amy Gouley
Two weeks ago, dermatologist and PA Amy Gouley participated in her fourth CareHarborLA event . The CareHarbor free clinic is held annually in the fall at the Los Angeles Sports Arena. This four day event is offered to the uninsured, underinsured and at Read More...
Visual Dermatology Clinic: Nation's Largest Free Health Clinic
September 19, 2014 3:05 PM by Amy Gouley
Last week I was fortunate enough to participate in my fourth CareHarborLA event. The CareHarbor free clinic is held annually in the fall at the Los Angeles Sports Arena. This four day event is offered to the uninsured, underinsured and at risk populations Read More...
Visual Dermatology Clinic: Trichotillomania
August 21, 2014 3:13 PM by Amy Gouley
This 57 year old patient presented for a total body skin examine. She was wearing a hat and when asked to remove it the photos below show my findings of Trichotillomania. The patient reports having the condition since she was 14 years old and has tried Read More...
Visual Dermatology Clinic: Majocchis Granuloma
August 7, 2014 10:37 AM by Amy Gouley
88 year-old male presented with a poor healing wound on his right anterior lower leg which had been ongoing for four months. The lesion presented as a group of pustules that were well circumscribed, annular, and boggy, resembling a small carbuncle. The Read More...
Visual Dermatology Clinic: Squamous Cell Carcinoma
July 24, 2014 9:43 AM by Amy Gouley
These photos belong to an 80-year-old female who presented to our clinic for a total body skin screening. She has a history of Basal Cell Carcinoma on her forehead that was treated with MOHS in 2011. All of these photos shown are positive for Squamous Read More...
Visual Dermatology Clinic: Sea the Skin
July 10, 2014 12:24 PM by Amy Gouley
This is a photo of a 56 year old male who arrived to our office for a total body skin exam. Patient was born and raised in Washington with a negative history of skin cancer, both himself and family. Patient enjoys sailing and boating and has spent numerous Read More...
A Sample Dermatology Protocol
April 14, 2014 9:44 AM by Debra Shelby
Many nurse practitioners have asked me about dermatology protocols. They are no different from other protocols and should be an outline of your practice agreement with your supervising or collaborating physician. These protocols should remain broad and Read More...
The Don’ts of Cryosurgery
August 9, 2013 12:51 PM by Raymond Shulstad
Cryosurgery is a process where liquid nitrogen is applied to a lesion to induce cell death. It is a procedure done every day in dermatology offices and is now done routinely in primary care offices as well. It is a relatively low-risk procedure, causes Read More...
Treating Acne: The Basics
July 12, 2013 9:06 AM by Raymond Shulstad
As the summer comes to a close and students and parents begin to plan for the next school year, inevitably there is a mad dash to the dermatology office to treat acne. Freshmen want to be clear to start high school, seniors want to be pimple-free for Read More...
Update on Melanoma Patient
July 11, 2013 7:45 AM by Amy Gouley
This post is an update on the patient I reported on in my March 1 post. He is 75 years old and came to our office as follow-up after excision of scalp lesions. He was diagnosed with Stage 4 metastatic melanoma. The photo shows his scalp involvement 3 Read More...


About this Blog

    Occupation: Physician assistant and nurse practitioners
    Setting: Various dermatology settings
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