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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 ...
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
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 months later. These satellite lesions are growing at an exponential rate. The ...
1. A patient presents with a new spot on the nose for 3 months. No history of skin cancer. I believe it's a BCC and path proves it's a SCC, WOW!
2. Ceruloderma, a drug-induced pigmentation secondary to Lupus medication.
3. ''Show and Tell:'' I love a zip lock bag attached to the chart on the door. This patient was proud of the ...
A patient presents with discrete patches of
hyperpigmentation on the face, particularly involving the cheeks and upper lip. She
denies recent sun exposure or use of oral contraception pills. She was
diagnosed a year ago with melasma and given hydroquinone, which she used as
directed in the evening for three months. She now ...
Have you visited our blogs lately? Last week, new NPs and nurse veterans battled on the value of floor experience. Our NP & PA Student blogger Terry Clarke, currently enrolled in a fast track NP program, expressed his views on what experienced nurses have going for them and what they still have to learn. Here are a few of the comments your ...
This blog is brought to you by ADVANCE and DNA.
The Dermatology Nurses' Association (DNA) will host a Virtual Psoriasis Symposium on Saturday, Nov. 10. This event offers a unique educational format for dermatology and primary care nurses as well as nurse practitioners who treat patients with psoriasis.
An estimated 7.5 ...
I cannot believe I have seen five lichen sclerosus (LS) cases in the past 4 workdays! I haven't seen LS for months and possibly a year.
I remember my very first LS patient so clearly. I had just started practicing in Beverly Hills and I had a very aggressive mother pushing me to biopsy her 11-year-old daughter's vulva to confirm LS. Naturally, I ...
Last week, NP and PA readers submitted questions to our communities asking for advice from fellow clinicians. Below are a sample - if you have any advice for these NPs and PAs, comment on the respective article or share with us here and we'll make sure to pass along the wisdom. Have something you'd like a clearer answer on? Let us know on our ...
Last week, ADVANCE for NPs & PAs attended the 5th National Doctors of Nursing Practice conference, hosted by DNP, Inc., in St. Louis, Mo. We shared two great photos from the event on Facebook (here and here) and live tweeted with updates from the conference floor.
Here is some of what we tweeted from ...