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Dermatology Pocket Guide | Dosing, Workup, & Management | 5th Edition
The brand new 5th Edition has officially been released! It is now larger, easier to read, and comes in a high-gloss UV proctective finish!
Major new additions include:
- Updated wart treatments (bleomycin, 5-FU, & cimetidine)
- Pediatric dosing for DUPIXENT®
- New lab monitoring protocol for CellCept®
Prior additions include:
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SKYRIZI™ & ILUMYA™ added to biologics section
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EUCRISA® added to atopic dermatitis treatment ladder
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Costs of biologics updated
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Methotrexate pediatric dosing added
- PASI scores (70, 90, & 100) added to biologics section
- Biologics added (SILIQ® & TREMFYA®)
- Side effects of complex systemic medications organized by frequency
- Complex systemic medications table color-coded and easier to read for faster reference
- Erythroderma workup box added
- Qbrexza™ (glycopyrronium) added to hyperhidrosis section
- Tranexamic acid added to melasma section
- Mechanisms of complex systemic drugs elaborated
- Retinoid indications, lab workup, side effects, and mechanisms elaborated
- Bexarotine protocol elaborated
- Plaquenil updated laboratory monitoring
- New mnemonic for side effects of Vismodegib®
- Antihistamine dosing elaborated
- Serum free light chain assay added to monoclonal gammopathy workup
- Causes of drug-induced pemphigus
- Urticaria & angioedema workup refined & improved
- Generalized pruritus section improved
- Lupus section refined & improved
- Topical corticosteroid section improved
- Topical antiseptics improved
- Phototherapy dosing improved
- PDT protocol improved
- Laser absorption spectrum improved
- Color Coding throughout the card to make it easier to read and for faster reference
Complete contents are listed below:
General Dermatology:
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Atopic dermatitis: cytokines involved, treatment ladder & management for mild to severe atopic dermatitis.
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Acne: cytokines involved, subtypes & treatment ladder & management
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Rosacea: subtypes & treatment ladder & management
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Psoriasis: cytokines involved, treatment ladder for mild to severe psoriasis
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CTCL: workup, biopsy technique & treatment ladder & protocols
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Actinic Keratoses: monotherapy & combination therapy protocols
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Surgery: proper surgical margins, Langer's lines diagrams, 5-year survival data for melanoma depending on Breslow thickness
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Topical corticosteroids: most commonly used classes & formulations
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Topical steroid sparing agents: Tacrolimus & Pimecrolimus formulations
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Topical antibiotics for acne & rosacea, formulations & dosing
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Antihistamine options & dosing
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Antipruritic drugs & uses
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Cryotherapy protocols depending on lesion treated
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Melasma & Post-Inflammatory Hyperpigmentation treatment options
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Hyperhidrosis treatment options
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Vitiligo depigmentation options
Workup Boxes:
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Unknown Rash differential diagnosis
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Generalized pruritus workup
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Urticaria workup
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Angioedema workup
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Alopecia workup
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Erythroderma workup & differential diagnosis
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Pustular eruption workup & differential diagnosis
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Pyoderma Gangrenosum-like ulcers workup & differential diagnosis
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Biopsy sites for DIF
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Auto-immune Connective Tissue Diseases workups
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Cutaneous vasculitis (purpura) workup
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Urticarial vasculitis workup
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Retiform purpura workup
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Erythema nodosum workup
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Stevens Johnson Syndrome/Toxic Epidermal Necrolysis prognostication and treatment.
Anti-Microbials:
- Topical antifungals: best and most commonly used formulations, listed in progressive order.
- Systemic antifungals for tinea pedis & corporis: proper dosing, duration, and treatment outcomes
- Systemic antifungals for onychomycosis: dosing and duration
- Systemic antifungals for tinea capitis: dosing, duration, & selection based on organism
- Systemic treatment options, dosing, & duration for HSV infections (labialis, genital HSV, & Zoster)
- HSV prophylaxis
- Verruca Vulgaris & Condyloma Accuminata most common organisms and treatment ladder
- Molluscum contagiosum treatment ladder
- Antiparasitic topical and systemic treatment dosing & duration
- Systemic bacterial antibiotics most commonly used in dermatology & dosing
- Pre-op prophylaxis dosing & timing.
- Topical antibiotics for impetigo, wound infections, nasal MRSA eradication, pseudomonas, cutaneous MRSA, fungus, & yeast
- Sexually transmitted diseases, their presentations, first line treatments, & second line treatments.
Dermoscopy:
- Dermoscopy of melanoma-specific structures
- Dermoscopy of non-melanoma skin cancers (NMSC)
Complex Systemic Medications: This section includes the cost, dosing, lab monitoring, side effects, interactions with other medications, mechanism, & pregnancy category of
the following commonly used complex systemic medications in Dermatology:
- Isotretinoin
- Acitretin
- Bexarotene
- Prednisone
- Methotrexate
- Azathioprine
- Cyclosporine
- Mycophenolate Mofetil
- Hydroxychloroquine
- Thalidomide
- Dapsone
- Colchicine
- Cyclophosphamide
- IVIG
- Rituximab
- Apremilast
- Etanercept
- Infliximab
- Adalimumab
- Ustekinumab
- Secukinumab
- Ixekizumab
- Brodalumab
- Guselkumab
- Omalizumab
- Dupilumab
- Targeted Immunotherapies: Ipilimumab, Prembrolizumab, Vismodegib, costs, side effects & mechanism
Physical Modalities in Dermatology:
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PUVA: ideal candidates, protocol, starting dose & dose escalation based on skin type, dosing of 8-methoxypsoralen, clearance schedule, maintenance schedule, adverse
effects
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nbUVB: protocol, starting dose & dose escalation based on skin type
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Photodynamic Therapy (PDT): protocol & adjuvant therapy
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LASERs: the most commonly used lasers, their wavelengths, indications, & off-label uses. Also includes all the treatable chromophores, thermal relaxation times (TRT)
& pulse duration required to destroy chromophores.
Drug Rash Section: The most common drug rashes and their culprit medications
- Exanthematous
- Urticarial
- Fixed drug eruption
- AGEP
- DRESS/DIHS
- SJS/TEN
- Photoallergic
- Vasculitic
- Linear Ig-A bullous dermatosis
- Pseudoporphyria
- Drug-induced systemic lupus
- Drug-induced SCLE
- Drug-induced psoriasis
- Drug-induced pemphigus