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SPECIFIC OBJECTIVES - DAY 1 - INTRODUCTION ESSENTIALS OF DERMATOLOGY DIAGNOSIS Approach dermatologic disorders with a consistent and logical method. The role of "color" in the diagnosis of cutaneous lesions. Therapy of common disorders. COMMON PROBLEMS IN OFFICE DERMATOLOGY Differential diagnosis of common disorders based on lesion morphology and distribution. The many manifestations of cutaneous fungal disease. Fungal foot and nail changes, and therapy. HERPES SIMPLEX; ZOSTER; LICHEN PLANUS Differentiate herpes simplex and herpes zoster based on morphology and distribution of lesions and laboratory testing. The varied manifestations and complications of herpes zoster. Treatment plan for herpes simplex and herpes zoster. PSORIASIS The spectrum of classical and subtle cutaneous changes of psoriasis. Basic pathophysiology of psoriasis. Approach topical psoriasis therapy with a basic algorithm. DAY 2 - COMMON TUMORS IN THE OFFICE SETTING, PART 1: WARTS, COMMON NEOPLASMS OF THE HEAD AND NECK The multiple cutaneous manifestations of warts and a stepwise treatment approach based on literature review. Common cutaneous tumors, both, benign and malignant, occurring on face and scalp. A treatment plan for common tumors, which may include observation, biopsy, removal, and referral. COMMON TUMORS IN THE OFFICE SETTING, PART 2: KERATOSES, CYSTS, GRANULOMA ANNULARE, LYMPHOMA VASCULAR TUMORS Common dermal tumors, including indications for biopsy. Cutaneous lymphoma and common vascular tumors. PROBLEMS IN THE SUN, PART 1: SOLAR RADIATION; PHOTODAMAGE; ACTINIC KERATOSIS Distinguish photo-distributed eruptions from those in which sunlight plays no role. Common clinical presentations of nonmelanoma skin cancers and precancers. Therapeutic approach to ultraviolet induced lesions. PROBLEMS IN THE SUN, PART 2: NON-MELANOMA SKIN CANCERS; PHOTOSENSITIVITY REACTIONS; SUN PROTECTION Common photosensitivity disorders. Diagnosis and treatment of these conditions. Sun protective measures for your patients. DAY 3 - MALIGNANT MELANOMA, PT. 1: MELANOMA, BIRTHMARKS The ABCDE approach to the description of pigmented lesions and features of melanoma. The biology of melanoma. Surgical approach to melanoma. MALIGNANT MELANOMA, PT. 2: NEVI, DYSPLASTIC NEVI "Dysplastic nevi" and the relationship between dysplastic nevi and melanomas. Approach to examination and follow up of families with dysplastic nevi and melanomas. Methods of photoprotection and the relationship of the sun to melanomas. CONTACT DERMATITIS The complexity of testing for identification of allergies in contact dermatitis. Identify and treat poison ivy, poison oak, and poison sumac. Common contactants seen in the office setting. LEG ULCERS AND THE PRINCIPLES OF WOUND CARE Differentiate and treat leg ulcers based on etiology. Basic principles of wound care. The rationale for various wound dressings. DAY 4 - ACNE, PART 1: PATHOPHYSIOLOGY, RECOGNITION AND TREATMENT Types of acne lesions and therapy based on pathophysiology. Therapeutic ladder with a clear understanding of treatment indications, expectations, and side effects. Current issues regarding usage of isotretinoin and long-term oral antibiotics. ACNE, PART 2: IDENTIFICATION AND TREATMENT OF ACNE, ACNEIFORM ERUPTIONS AND ROSACEA Various acneiform eruptions. Testing to distinguish such conditions, including culture and biopsy when appropriate, and initiate therapy. Rosacea. DERMATOLOGIC MANIFESTATIONS OF SYSTEMIC DISEASE Cutaneous markers of certain systemic diseases. Specific and nonspecific findings in relationship to underlying disease. Pruritus and differentiate those cases associated with systemic disease vs. primary cutaneous disease, including atopic dermatitis. CASE STUDIES IN DERMATOLOGY Differential diagnosis based on clinical presentation and patient history. Importance of morphology and pattern recognition in cutaneous disorders. DAY 5 - DRUG ERUPTIONS: ETIOLOGY, DIFFERENTIAL DIAGNOSIS AND TREATMENT The numerous eruptions induced by medications. The most common suspected drugs in producing certain reaction patterns. INFECTIONS IN DERMATOLOGY Infectious processes involving the skin. Common cutaneous infections, including indications for biopsy. PATHOPHYSIOLOGY AND TREATMENT OF FOOT ULCERS: DIABETIC ISCHEMIC AND NEUROPATHIC Ischemic and neuropathic etiologies of diabetic foot ulcers. Treat neuropathic ulcers successfully with debridement and weight off loading. The rationale for selected footwear in the patient with neuropathy. CASES THAT HAVE TAUGHT ME A LESSON. Skin changes that point to specific and varied cutaneous disorders encountered in the office.
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