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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 Cell Carcinoma. Additionally, this patient has two more SCC's not shown. (Hover your ...
Dear Career Coach: I am a new grad NP with celiac disease and I am unable to eat at restaurants due to potential cross-contamination that inevitably leaves me ill for a week. What suggestions do you have to handle not being able to eat at a restaurant, without coming across like a ''major diva'' as you mentioned?
Dear Reader: The ...
Frequently, women present to our clinic with melasma. Patches of dark pigmentation that often present symmetrically on the cheeks, upper lip and/or forehead characterize melasma. Excessive melanin production is stimulated by excessive sun exposure, heat or hormonal changes. The onset of melasma is often associated with hormonal shifts such as use ...
As a new practitioner there is always that ''second guessing yourself complex'' that hovers over you like a black cloud. One benefit that I have had is that I have 6 years or ER nursing experience behind me. It allows me to have that gut feeling that tells you something is not quite right. This feeler system has definitely followed me into urgent ...
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 general, but list important and specific aspects of your practice like prescribing ...
Hair loss can be devastating to both men and women. Various genetic and environmental factors can cause hair loss. Environmental factors may include chemotherapy, diet, nutrition, stress, hormonal shifts, autoimmune disorders and various illnesses due to imbalances
Treatment options for hair loss include magical topical lotions and potions, ...
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
minimal scarring and can be used for a multitude of conditions, including
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 senior pictures. The problem is that they like to wait until 2 weeks before the start of school to ...
I had my first jaw dropping patient last week. You know, working
in cardiology, you see a lot of the same thing. Acute coronary syndrome, atrial
fib, heart failure...Turn 'em and burn 'em, that's my motto. Thursday, I had my
first patient that I was completely side-bombed over.
That day, an 86-year-old female presented to the ED for ...
Here at the National Association of Pediatric Nurse Practitioners (NAPNAP) 2013 conference in Orlando, leagues of NPs are gathered for 3 days of educational sessions, CE credits and networking.
At today's opening session, hundreds of NPs were welcomed to the Hilton Orlando's Orange Ballroom to launch the week's events. NAPNAP president ...