DERM: A Four-Step Dermatology Education Digital Tool Kit for Nondermatologists

Giesey, Rachel L.; Narively, Doria; Mostow, Eliot N.; Mullen, Chanda

doi:10.22454/fammed.2018.504756

Cited by 4 publications

(3 citation statements)

References 5 publications

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“…Family medicine practitioners must have a comprehensive understanding of various skin conditions and their presentations in order to accurately recognize dermatological emergencies. They should be familiar with the common signs and symptoms of emergencies such as severe rashes, bullae formation, rapidly spreading cellulitis, and necrotic skin [13]. Additionally, family medicine practitioners should be able to differentiate between urgent and non-urgent skin conditions, as well as recognize the potential complications or consequences of untreated dermatological emergencies.…”

Section: Recognition Of Skin Conditions In Family Medicinementioning

confidence: 99%

“…Family medicine plays a critical role in the recognition, management, and referral of dermatological emergencies. Despite the high prevalence of skin-related problems, dermatologists correctly diagnose 93% of Journal of Advanced Zoology conditions, while non-dermatologists only diagnose 52% of conditions [13]. This highlights the need for family medicine practitioners to have a strong understanding of dermatology and emergency management of skin conditions.…”

Section: Family Medicine's Role In Dermatological Emergenciesmentioning

confidence: 99%

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Dermatological Emergencies in Family Medicine: Recognition, Management, and Referral Considerations

Alsudairy,

Aljuhani,

Alhassan

et al. 2023

JAZ

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Numerous people with skin disorders who have real dermatologic crises show up at the emergency room. Family doctors need to be able to identify potentially fatal dermatological disorders quickly since they could be the first to encounter patients with these illnesses. The purpose of this review is to provide guidance for early recognition, help identify distinct symptoms, and enable early diagnosis of emerging dermatological conditions. Necrotizing fasciitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, Rocky Mountain spotted fever, and other possible emergencies that might manifest as dermatological symptoms are examples of these conditions. In this article we will be discussing the dermatological emergencies present at primary care settings and encountered by family physician, recognition and management of those emergencies, referral considerations, role of family medicine in dermatological emergencies and other topics.

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Section: Recognition Of Skin Conditions In Family Medicinementioning

confidence: 99%

Section: Family Medicine's Role In Dermatological Emergenciesmentioning

confidence: 99%

Dermatological Emergencies in Family Medicine: Recognition, Management, and Referral Considerations

Alsudairy,

Aljuhani,

Alhassan

et al. 2023

JAZ

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“…3,4 This issue among PCP training continues to be addressed through practice resources and dermatologist-established recommendation toolkits. 4,5 One condition that tends to be recognized by PCPs is granuloma annulare (GA), which involves a benign accumulation of macrophages called a "granuloma" in the skin's dermis. 6 This condition typically occurs in children under the age of 10 and adults over the age of 40, and affects women twice as often as men.…”

Section: Introductionmentioning

confidence: 99%

Management of a Unique Presentation of a Common Dermatologic Condition

Schukow

Schaeffer

Boss

et al. 2021

Spartan Medical Research Journal

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Skin rashes are a common complaint seen in the primary care setting. There are many dermatologic conditions which a primary care provider (PCP) should be able to recognize and manage. One such condition is granuloma annulare (GA), which commonly presents as smooth, annular plaques on the trunk and/or extremities. Rashes like GA rarely present as unique variants and may be difficult for PCPs to determine from patient history and physical exam alone. Patch granuloma annulare (patch GA) is an example that may clinically mimic a cutaneous lymphoma known as mycosis fungoides (MF). PCPs should ideally be able to recognize the utility of performing a skin biopsy and/or referring the patient to a dermatologist when history and physical exam alone are insufficient. The histologic findings of skin biopsies often become essential in establishing a proper diagnosis and guiding patient management in unique dermatologic variants. EXAMPLE CASEThe patient in this clinical practice report is a Caucasian female in her late 60s who presented to a dermatology clinic with a two-year history of a worsening widespread eruption on her trunk and extremities. She had been evaluated previously by her PCP about 4 months prior and, without obtaining skin biopsies, treated her with a medium potency topical corticosteroid cream. The eruption had spread over her hips, buttocks, back, thighs, wrists, and elbows. Multiple skin biopsies of affected sites were taken by the second author and revealed findings consistent with patch GA. The patient was started on topical betamethasone dipropionate 0.05% ointment twice daily and noted marked improvement of her symptoms. CONCLUSIONSAlthough GA is a benign condition of the skin that may be readily detected by PCPs, skin biopsies may be necessary to establish a proper diagnosis when this condition presents as a unique variant (e.g., patch GA). Therapy for patch GA often begins with a trial of high-potency topical steroid therapy in combination with ultraviolet light exposure, depending on disease severity and patient preference. Early evaluation with a skin biopsy by her PCP or an earlier referral to a dermatologist to have skin biopsies performed likely would have helped establish a prompter diagnosis and treatment plan for this patient.

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Recognizing and treating five common dermatologic conditions seen in primary care

Etcheverria

2020

Jaapa

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Skin conditions are one of the most common chief complaints encountered in the primary care setting. Primary care providers (PCPs) may not have not received enough exposure and education on dermatologic conditions. Of all skin conditions, atopic dermatitis, acne vulgaris, cellulitis/abscess, verruca vulgaris, and benign skin lesions are typically the most common to present in the primary care setting. PCPs must be well educated on these topics and confident in their diagnostic and management skills. This article reviews the five most common skin conditions encountered in primary care so that PCPs can reduce the number of referrals to dermatology for conditions that can easily be managed by PCPs.

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DERM: A Four-Step Dermatology Education Digital Tool Kit for Nondermatologists

Abstract: Implementing the DERM digital tool kit is feasible with primary care residents and appears to improve comfort with describing, recognizing and diagnosing, and managing dermatologic conditions.

Cited by 4 publications

References 5 publications

Dermatological Emergencies in Family Medicine: Recognition, Management, and Referral Considerations

Dermatological Emergencies in Family Medicine: Recognition, Management, and Referral Considerations

Management of a Unique Presentation of a Common Dermatologic Condition

Recognizing and treating five common dermatologic conditions seen in primary care

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