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5
 DEDICATION

Jeff Meffert, MD

Dr. Meffert started his career as a family physician and then went on to become an exceptional board-certified
dermatologist. Jeff and his wife, Paula Lyons, graduated from the University of Texas Health Sciences Center
(UTHSCSA) Family Medicine Residency Program more than 30 years ago. He and his wife (still a practicing
family physician) volunteered in our student-run free clinics. Jeff has contributed a number of photographs to
all of our color atlases and was always helpful when we asked him for an image.

Jeff recently passed away from pancreatic cancer at the age of 60. He was known for his great sense of humor
and excellent teaching. He had been happily teaching family physicians dermatology for decades. When he
was the program director for the UTHSCSA Dermatology Residency Program he had welcomed our
Underserved Family Medicine Dermatology Fellows as learners alongside his dermatology residents. His
family has had to deal with too many tragedies, including the death of his oldest son just a few months before
his diagnosis of pancreatic cancer. Jeff was a fine photographer and one of the smartest dermatologists. He
was also an active editor and writer with an interest in medical ethics. His family, friends, residents, students,
patients, and colleagues miss him greatly. We dedicate this book to Jeff as he touched so many lives in a
positive way as a great man, a great doctor, and a great teacher.

6
 COVER IMAGES

FRONT COVER
Top left: Dermoscopy of a pigmented basal cell carcinoma that shows leaf-like structures (Figure 177-20B,
page 1099; Richard P. Usatine, MD).

Top right: Sclerodactyly in a woman with scleroderma showing tight skin over the fingers and some flexion
deformities (Figure 190-2, page 1204; Richard P. Usatine, MD).

Middle: Distal clavicular fracture (Figure 104-4, page 614; E.J. Mayeaux, Jr., MD).

Bottom left: Keratoacanthoma on the nose of a 29-year-old HIV positive man with a central keratin core
(Figure 174-5, page 1080; Richard P. Usatine, MD).

Bottom middle: Episcleritis showing inflammation of only the conjunctival and episcleral tissue (Figure 19-5,
page 151; Richard P. Usatine, MD).

Bottom right: Psoriatic plaque (Figure 110-4, page 641; Richard P. Usatine, MD).

BACK COVER
Left to right:

Cryotherapy of a pyogenic granuloma using a Cryo Tweezer. The young girl tolerated the cryotherapy well
(Figure 167-11, page 1036; Richard P. Usatine, MD).

A labial melanotic macule. This is benign (Figure 110-1, page 641; Richard P. Usatine, MD).

A weight-bearing dorsoplantar plain radiograph showing a laterally deviated hallux resulting in a bunion
(Figure 217-2, page 1382; Naohiro Shibuya, DPM).

Bullous fixed drug eruption with a dusky color and an annular pink border on the ankle (Figure 212-21, page
1354; Richard P. Usatine, MD).

7
 CONTENTS

Contributors

Preface

Acknowledgments

PART I
LEARNING WITH IMAGES AND DIGITAL PHOTOGRAPHY
1 An Atlas to Enhance Patient Care, Learning, and Teaching

PART II
THE ESSENCE OF FAMILY MEDICINE
2 Doctor–Patient Relationship
3 Family Planning
4 Pregnancy and Birth
5 End of Life
6 Social Justice
7 Global Health
8 Zika, Ebola, and Other Emerging Infections

PART III
PHYSICAL AND SEXUAL ABUSE AND LGBT HEALTH ISSUES
9 Child Physical Abuse
10 Child Sexual Abuse
11 Intimate Partner Violence
12 Adult Sexual Assault
13 Lesbian Gay Bisexual Transgender Health Issues

PART IV
OPHTHALMOLOGY
14 Pterygium
15 Hordeolum and Chalazion
16 Scleral and Conjunctival Pigmentation
17 Corneal Foreign Body and Corneal Abrasion
18 Conjunctivitis

8
19 Scleritis and Episcleritis
20 Uveitis and Iritis
21 Glaucoma
22 Diabetic Retinopathy
23 Hypertensive Retinopathy
24 Papilledema
25 Age-Related Macular Degeneration
26 Eye Trauma—Hyphema
27 Differential Diagnosis of the Red Eye

PART V
EAR, NOSE, AND THROAT
Section A: Ear
28 Otitis Media: Acute Otitis and Otitis Media with Effusion
29 Acute Otitis Externa
30 Ear: Foreign Body
31 Chondrodermatitis Nodularis Helicis and Preauricular Tags
Section B: Nose and Sinus
32 Nasal Polyps
33 Sinusitis
Section C: Mouth and Throat
34 Angular Cheilitis
35 Torus Palatinus
36 Scarlet Fever and Strawberry Tongue
37 Pharyngitis
38 The Larynx (Hoarseness)

PART VI
ORAL HEALTH
39 Black Hairy Tongue
40 Geographic Tongue
41 Gingivitis and Periodontal Disease
42 Gingival Overgrowth
43 Aphthous Ulcer
44 Leukoplakia
45 Oropharyngeal Cancer
46 Early Childhood Caries
47 Adult Dental Caries

9
PART VII
THE HEART AND CIRCULATION
Section A: Central
48 Coronary Artery Disease
49 Hypertension
50 Heart Failure
51 Pericardial Effusion
52 Bacterial Endocarditis
Section B: Peripheral
53 Clubbing
54 Venous Insufficiency

PART VIII
THE LUNGS
55 Pneumonia
56 Tuberculosis
57 Asthma
58 Chronic Obstructive Pulmonary Disease
59 Pulmonary Embolism
60 Lung Cancer

PART IX
GASTROINTESTINAL
61 Peptic Ulcer Disease
62 Gastric Cancer
63 Liver Disease
64 Gallstones
65 Colon Polyps
66 Colon Cancer
67 Inflammatory Bowel Disease
68 Hemorrhoids

PART X
GENITOURINARY
69 Urinary Sediment
70 Kidney Stones
71 Hydronephrosis

10
72 Polycystic Kidneys
73 Renal Cell Carcinoma
74 Bladder Cancer
75 Prostate Cancer

PART XI
WOMEN’S HEALTH
Section A: Pregnancy
76 Skin Findings in Pregnancy
77 Pruritic Urticarial Papules and Plaques of Pregnancy
78 Pemphigoid Gestationis
79 First Trimester Obstetrical Ultrasound
80 Second Trimester Obstetrical Ultrasound
81 Third Trimester Obstetrical Ultrasound
Section B: Vaginitis and Cervicitis
82 Overview of Vaginitis
83 Atrophic Vaginitis
84 Bacterial Vaginosis
85 Candida Vulvovaginitis
86 Trichomonas Vaginitis
87 Chlamydia Cervicitis
Section C: Vulva
88 Paget Disease of the External Genitalia
89 Vulvar Intraepithelial Neoplasia
Section D: Colposcopy
90 Colposcopy: Normal and Noncancerous Findings
91 Colposcopy of Low-Grade Lesions
92 Colposcopy of High-Grade Lesions
93 Colposcopy of Cervical Cancer
Section E: Breast
94 Breast Abscess and Mastitis
95 Breast Cancer
96 Paget Disease of the Breast

PART XII
MUSCULOSKELETAL PROBLEMS
97 Arthritis Overview
98 Osteoarthritis

11
99 Rheumatoid Arthritis
100 Ankylosing Spondylitis
101 Back Pain
102 Gout
103 Olecranon Bursitis
104 Clavicular Fracture
105 Distal Radius Fracture
106 Metatarsal Fracture
107 Hip Fracture
108 Knee Injury
109 Dupuytren Disease

PART XIII
DERMATOLOGY
Section A: Foundations of Dermatology
110 Terminology of Skin Disorders
111 Dermoscopy
112 Topical and Intralesional Steroids
113 Biopsy Principles and Techniques
Section B: Childhood Dermatology
114 Normal Skin Changes
115 Childhood Hemangiomas
116 Pustular Diseases of Childhood
117 Diaper Rash and Perianal Dermatitis
Section C: Acneiform and Follicular Disorders
118 Acne Vulgaris
119 Rosacea
120 Pseudofolliculitis and Acne Keloidalis Nuchae
121 Hidradenitis Suppurativa
Section D: Bacterial
122 Impetigo
123 Folliculitis
124 Pitted Keratolysis
125 Erythrasma
126 Cellulitis
127 Abscess
128 Necrotizing Fasciitis
Section E: Viral

12
129 Chickenpox
130 Zoster
131 Zoster Ophthalmicus
132 Measles
133 Fifth Disease
134 Hand Foot Mouth Syndrome
135 Herpes Simplex
136 Molluscum Contagiosum
137 Common Warts
138 Flat Warts
139 Genital Warts
140 Plantar Warts
Section F: Fungal
141 Fungal Overview
142 Candidiasis
143 Tinea Capitis
144 Tinea Corporis
145 Tinea Cruris
146 Tinea Pedis
147 Tinea Versicolor
Section G: Infestations
148 Lice
149 Scabies
150 Cutaneous Larva Migrans
Section H: Dermatitis/Allergic
151 Atopic Dermatitis
152 Contact Dermatitis
153 Hand Eczema
154 Nummular Eczema
155 Psychocutaneous Disorders
156 Urticaria and Angioedema
Section I: Papulosquamous Conditions
157 Seborrheic Dermatitis
158 Psoriasis
159 Pityriasis Rosea
160 Lichen Planus
161 Reactive Arthritis
162 Erythroderma
Section J: Benign Neoplasms

13
163 Skin Tag
164 Seborrheic Keratosis
165 Sebaceous Hyperplasia
166 Dermatofibroma
167 Pyogenic Granuloma
Section K: Nevi
168 Benign Nevi
169 Congenital Melanocytic Nevi
170 Epidermal Nevus and Nevus Sebaceus
171 Dysplastic Nevus and Spitz Nevus
Section L: Sun Damage and Early Skin Cancer
172 Sun Damage and Skin Cancer Prevention
173 Actinic Keratosis and Bowen Disease
174 Keratoacanthoma
175 Lentigo Maligna
176 Cutaneous Horn
Section M: Skin Cancer
177 Basal Cell Carcinoma
178 Squamous Cell Carcinoma
179 Melanoma
180 Cutaneous T-Cell Lymphoma
181 Advanced Dermoscopy of Skin Cancer
Section N: Infiltrative Immunologic
182 Granuloma Annulare
183 Pyoderma Gangrenosum
184 Sarcoidosis
Section O: Hypersensitivity Syndromes
185 Erythema Multiforme, Stevens-Johnson Syndrome, and Toxic Epidermal Necrolysis
186 Erythema Nodosum
187 Vasculitis
Section P: Connective Tissue Disease
188 Lupus: Systemic and Cutaneous
189 Dermatomyositis
190 Scleroderma and Morphea
Section Q: Bullous Disease
191 Overview of Bullous Diseases
192 Bullous Pemphigoid
193 Pemphigus
194 Other Bullous Diseases

14
Section R: Hair and Nail Conditions
195 Alopecia Areata
196 Traction Alopecia and Trichotillomania
197 Scarring Alopecia
198 Normal Nail Variants
199 Pigmented Nail Disorders
200 Ingrown Toenail
201 Onychomycosis
202 Paronychia
203 Psoriatic Nails
204 Subungual Hematoma
Section S: Pigmentary and Light-Related Conditions
205 Melasma
206 Vitiligo and Hypopigmentation
207 Postinflammatory Hyperpigmentation
208 Photosensitivity
209 Erythema Ab Igne
Section T: Vascular
210 Acquired Vascular Skin Lesions
211 Hereditary and Congenital Vascular Lesions
Section U: Other Skin Disorders
212 Cutaneous Drug Reactions
213 Keloids
214 Genodermatoses
215 Erythema Annulare Centrifugum

PART XIV
PODIATRY
216 Corn and Callus
217 Bunion Deformity
218 Hammer Toe
219 Ischemic Ulcer
220 Neuropathic Ulcer
221 Charcot Arthropathy
222 Dry Gangrene

PART XV
INFECTIOUS DISEASES

15
223 Intestinal Worms and Parasites
224 Gonococcal and Chlamydia Urethritis
225 Syphilis
226 AIDS and Kaposi Sarcoma
227 Lyme Disease

PART XVI
ENDOCRINE
228 Diabetes Overview
229 Acanthosis Nigricans
230 Diabetic Dermopathy
231 Necrobiosis Lipoidica
232 Hyperlipidemia and Xanthomas
233 Obesity
234 Osteoporosis and Osteopenia
235 Goitrous Hypothyroidism
236 Graves Disease and Goiter
237 Acromegaly

PART XVII
THE BRAIN AND NERVOUS SYSTEM
238 Mental Health
239 Headache
240 Sports-Related Head Injury
241 Cerebral Vascular Accident
242 Subdural Hematoma
243 Dementia
244 Bell Palsy
245 Neurofibromatosis

PART XVIII
SUBSTANCE ABUSE
246 Substance Abuse Disorder
247 The Opioid Crisis and the War on Drugs
248 Smoking and Tobacco Addiction
249 Alcohol Use Disorder
250 Methamphetamine
251 Cocaine

16
252 Injection-Drug Use

APPENDIX
A Interpreting Evidence-Based Medicine
B Chronic Pain

Subject Index

17
 CONTRIBUTORS

Cathy Abbott, MD
Assistant Professor
Michigan State University
East Lansing, Michigan

Frank Aguirre, MD
Assistant Clinical Professor, Department of Obstetrics and Gynecology
University of South Carolina School of Medicine—Palmetto Health USC Medical Group
Columbia, South Carolina

Kari-Claudia M. Allen, MD, MPH

Assistant Professor
Department of Family and Preventive Medicine
University of South Carolina School of Medicine—Palmetto Health USC Medical Group
Columbia, South Carolina

Anna Allred, MD
Critical Care Anesthesiologist
Greater Houston Anesthesiology
Houston, Texas

Jim Anderst, MD, MSCI

Division of Child Abuse and Neglect
Professor of Pediatrics
Children’s Mercy Hospital
UMKC School of Medicine
Kansas City, Missouri

Athena Andreadis, MD
Assistant Professor
Behavioral and Clinical Medicine
American University of the Caribbean School of Medicine
St. Maarten

Nehman Moses Andry, MD

Associate Professor/Clinical
Clerkship Director
University of Texas Health, San Antonio—Joe R. & Teresa Lozano Long School of Medicine

18
Department of Family & Community Medicine
Sacramento, California

Khaled Z. Aqeel, MD, MBA

Assistant Professor of Family Medicine
Louisiana State University Health Science Center
Shreveport, Louisiana
Medical Director of BAART Norwood
BayMark Health Services
Sacramento, California

Michael J. Babcock, MD
Colorado Springs Dermatology Clinic
Colorado Springs, Colorado

Edward Bae, MD
Resident
Department of Internal Medicine, North Shore Medical Center
Salem, Massachusetts
Department of Dermatology, Roger Williams Medical Center
Providence, Rhode Island

Yoon-Soo Cindy Bae, MD

Clinical Assistant Professor of Dermatology
New York University Medical Center
Associate, Laser & Skin Surgery Center New York
New York, New York

Jeffrey H. Baker, MD
Assistant Professor
Department of Family and Community Medicine
Penn State College of Medicine
Hershey, Pennsylvania

Pavela G. Bambekova, BS
Medical Student
Long School of Medicine
University of Texas Health, San Antonio
San Antonio, Texas

Jonathan C. Banta, MD
Dermatologist

19
Captain, United States Air Force

Austin Baraki, MD
Internal Medicine
University of Texas Health, San Antonio
San Antonio, Texas

Luke M. Baudoin, MD
Associate Professor of Family Medicine
Louisiana State University Health Center
Shreveport, Louisiana

Elbert M. Belk, MD
Adjunct Assistant Professor
Department of Family and Community Medicine
University of Texas Health, San Antonio
San Antonio, Texas

Ruth E. Berggren, MD
Professor of Medicine, Infectious Diseases
Director
The Center for Medical Humanities & Ethics
University of Texas Health, San Antonio
San Antonio, Texas

Steven N. Bienvenu, MD
Pediatric Medicine
University Health Shreveport
Shreveport, Louisiana

J. Michael Blair, MD
Internal Medicine Resident
Houston, Texas

Jacqueline Bucher, MD
Dermatology Resident
University of Texas Health, San Antonio
San Antonio, Texas

Jordan E. Buckley, MD
Dermatology Resident
University of Texas Health Science Center
Houston, Texas

20
Margaret L. Burks, MD
Clinical Fellow, Diabetes, Endocrinology, & Metabolism
Vanderbilt Eskind Diabetes Clinic
Nashville, Tennessee

Tanya Burrell, MD
Assistant Professor of Pediatrics
Children’s Mercy Hospital
UMKC School of Medicine
Kansas City, Missouri

Lina M. Cardona, MD
Family Physician
Graduate, Underserved Family Medicine Dermatology Fellowship
Orlando, Florida

Charles Carter, MD
Associate Professor of Family Medicine
University of South Carolina School of Medicine
Columbia, South Carolina

Gina Chacon, MD
Senior Associate Consultant
Internal Medicine
Mayo Clinic Health System
La Crosse, Wisconsin

Naira Chobanyan, MD, PhD

Doctor of Medical Sciences, Professor
Behavioral and Clinical Medicine
American University of the Caribbean School of Medicine
St. Maarten

Beth Choby, MD
Associate Professor
Department of Medical Education
University of Tennessee College of Medicine
University of Texas Health Sciences Center
Associate Professor
Baptist Family Medicine Residency Program
Memphis, Tennessee

21
Sigrid M. Collier, MD, MPH
Dermatology Resident
University of Minnesota
Minneapolis, Minnesota

Alissa M. Collins, MD
Laryngology Fellow
University of Texas Health, San Antonio
San Antonio, Texas

Harry Colt, MD
Maine—Dartmouth Family Medicine Residency
Augusta, Maine

Danielle B. Cooper, MD
Associate Professor
Resident Program Director
Department of Obstetrics and Gynecology
Louisiana State University Health
Shreveport, Louisiana

Andrea L. Darby-Stewart, MD
Associate Director, HonorHealth Family Medicine Residency
Clinical Associate Professor, Family and Community Medicine
University of Arizona College of Medicine
Phoenix, Arizona

Tammy J. Davis, MD
Professor of Clinical Family Medicine
Louisiana State University Health—Shreveport, School of Medicine
Shreveport, Louisiana

John E. Delzell, Jr, MD, MSPH

Vice President for Medical Education
Northeast Georgia Health System
Gainesville, Georgia

Francis J. DeMarco, MD
Family Medicine Chief Resident
Louisiana State University Health Science Center
Shreveport, Louisiana

David Ojeda Díaz, DDS

22
Clinical Assistant Professor of Oral Medicine
Department of Comprehensive Dentistry
University of Texas Health, San Antonio, School of Dentistry
San Antonio, Texas

Lucia Diaz, MD
Assistant Professor of Dermatology and Pediatrics
University of Texas Dell Medical School
Austin, Texas

Laura M. Dominguez, MD
Assistant Professor of Otolaryngology
University of Texas Health, San Antonio
San Antonio, Texas

Kaley K. El-Arab, BS
Medical Student
University of Texas Health, San Antonio
San Antonio, Texas

Bettina Suzanne Fehr, MD

Assistant Professor
Department of Psychiatry
University of Texas Southwestern Medical Center
Dallas, Texas

Cathy M. Feller, MD
Chief Resident
Department of Family Medicine
University of North Carolina School of Medicine
Chapel Hill, North Carolina

Lindsey B. Finklea, MD
Adjunct Assistant Professor
Dermatology and Cutaneous Surgery
University of Texas Health
San Antonio, Texas

Kelli H. Foulkrod, MS, LPC, LPA

Psychotherapist
Organic Mental Health Center, PLLC
Austin, Texas

23
Robert Christopher Gilson, MD
Medical Student
Long School of Medicine
University of Texas Health, San Antonio
San Antonio, Texas

Bridget Godwin, MD
Assistant Professor of Pediatrics, Perelman School of Medicine—University of Pennsylvania
Attending Physician, Division of Gastroenterology, Hepatology & Nutrition
Children’s Hospital of Philadelphia
Philadelphia, Pennsylvania

Radha Raman Murthy Gokula, MD, CMD

Geriatrician & Palliative Medicine Consultant
University of Toledo Medical Center
Assistant Professor
Department of Family Medicine
University of Toledo
Toledo, Ohio

Wanda C. Gonsalves, MD
Professor and Vice Chair
Department of Family and Community Medicine
University of Kentucky
Lexington, Kentucky

M. Joyce Green, MD
Assistant Professor
Department of Family and Community Medicine
Penn State College of Medicine
Hershey, Pennsylvania

Mary Kelly Green, MD

Ophthalmology, Private Practice
Marble Falls, Texas
Clinical Assistant Professor
Department of Ophthalmology
University of Texas Health Science Center
San Antonio, Texas

Sujatha Gubbala, MD

24
Resident, Department of Family Medicine
Louisiana State University Health—Shreveport
Shreveport, Louisiana

Jeffrey Guy, MD
Professor of Orthopedic Surgery
University of South Carolina School of Medicine
Co-Director of Sports Medicine
Palmetto Health/USC Orthopedic Center
Medical Director—USC Athletic Training Program
Medical Director—USC Gamecocks/Athletic Department
Columbia, South Carolina

Alfonso Guzman, Jr, MD

Family Physician
Graduate, Underserved Family Medicine Dermatology Fellowship
San Antonio, Texas

Matthew S. Haldeman, MD
Global Health Fellow, MPH Candidate
Department of Family Medicine
University of South Carolina School of Medicine
Columbia, South Carolina

Jeffrey W. W. Hall, MD
Director Palmetto Health/USC Travel Clinic
Global Health Fellowship Director
Associate Professor of Clinical Family and Preventive Medicine
Department of Family and Preventive Medicine
Columbia, South Carolina

Meredith M. Hancock, MD
Medical/Surgical Dermatologist
Marshfield Clinic Health System
Marshfield, Wisconsin

Jimmy H. Hara, MD
Associate Dean for Graduate Medical Education
Professor, Family Medicine
Charles Drew University of Medicine and Science
Los Angeles, California

25
J. William Hayden, Jr, MD, EdD
Professor
Behavioral and Clinical Medicine
American University of the Caribbean
St. Maarten

Ronni Hayon, MD
Assistant Professor
Department of Family Medicine and Community Health
University of Wisconsin School of Medicine and Public Health
Madison, Wisconsin

David Henderson, MD
Associate Dean, Student Affairs
Associate Dean, Multicultural and Community Affairs
Associate Professor, Family Medicine
University of Connecticut School of Medicine
Farmington, Connecticut

Donald L. Hilton Jr, MD

Adjunct Associate Professor of Neurosurgery
Spine Fellowship Program Director
Department of Neurosurgery
University of Texas Medical School at San Antonio
San Antonio, Texas

Nathan Hitzeman, MD
Faculty, Sutter Health Family Medicine Residency Program
Sacramento, California

Jan Hood, MD
Professor of Clinical Family Medicine
LSU Health Sciences Center—Shreveport
Shreveport, Louisiana

Michaell A. Huber, DDS

Professor & Diplomate American Board of Oral Medicine
Department of Comprehensive Dentistry
University of Texas Health, San Antonio School of Dentistry
San Antonio, Texas

Karen A. Hughes, MD

26
Clinical Faculty
North Mississippi Medical Center Family Medicine Residency Program
Tupelo, Mississippi

Guy Huynh-Ba, DDS, MS

Professor
Department of Periodontics
The University of Texas Health Science Center at San Antonio (UTHSCSA)
San Antonio, Texas

Carlos Roberto Jaén, MD, PhD

Professor and Chair of Family and Community Medicine
Holly Distinguished Chair, Patient-Centered Medical Home
Long School of Medicine
University of Texas Health, San Antonio
San Antonio, Texas

Sarah J. James, DO
Assistant Professor
University of Wisconsin Department of Family Medicine and Community Health
Madison, Wisconsin

Asif Jawaid, DO
Chief Cardiology Fellow
Broward Health Medical Center
Fort Lauderdale, Florida

Adeliza S. Jimenez, MD
Department of Family Medicine
Partner Physician, Southern California Permanente Medical Group
Downey, California

Anne E. Johnson, MD
Psychiatrist, North Texas Veterans Health Administration
Dallas, Texas

Megha Madhukar Kapoor, MD

Assistant Professor
Department of Radiology
MD Anderson Cancer Center
Houston, Texas

Jonathan B. Karnes, MD

27
Medical Director, MDFMR Dermatology Services
Maine Dartmouth Family Medicine Residency
Clinical Assistant Professor, Geisel School of Medicine at Dartmouth
Augusta, Maine

Jennifer Tickal Keehbauch, MD

Associate Professor
Department of Family Medicine
Loma Linda School of Medicine
Loma Linda, California

Nancy D. Kellogg, MD
Professor, Pediatrics
Division Chief of Child Abuse
University of Texas Health, San Antonio
San Antonio, Texas

Amor Khachemoune, MD
Mohs Micrographic Surgeon & Dermatopathologist
The Department of Veterans Affairs New York Harbor Healthcare System
Brooklyn, New York

Barbara Kiersz-Mueller, DO
Family Physician
Austin, Texas

Robert L. Kraft, MD
Associate Director, Smoky Hill Family Medicine Residency Program
Assistant Clinical Professor
University of Kansas School of Medicine
Wichita, Kansas

Jennifer Krejci-Manwaring, MD
Adjunct Clinical Professor
University of Texas Health, San Antonio
South Texas Veterans Health Care
Limmer Hair Transplant Center, Medical Director
San Antonio, Texas

Emily Krodel, MD
Assistant Professor of Family and Preventive Medicine
Palmetto Health USC Medical Group

28
Columbia, South Carolina

Javier La Fontaine, DPM, MS

Professor of Podiatry
Department of Plastic Surgery
UT Southwestern Medical Center
Dallas, Texas

Maria J. LaPlante, MD
Family Physician, former Dermatology Fellow
Valley Health Warren Memorial Multispecialty Clinic
Front Royal, Virginia

Matthew J. Lenhard, MD
Assistant Professor
Department of Obstetrics and Gynecology
University of South Carolina School of Medicine
Columbia, South Carolina

Konstantinos Liopyris, MD
Research Fellow
Memorial Sloan Kettering Cancer Center and Department of Dermatology
University of Athens, A. Sygros Hospital
Athens, Greece

Leo Lopez III, MD

Postdoctoral Fellow
National Clinician Scholars Program
Yale University
New Haven, Connecticut

Juanita Lozano-Pineda, DDS, MPH

Associate Professor, Department of Comprehensive Dentistry
University of Texas Health, San Antonio School of Dentistry
San Antonio, Texas

Phyllis D. MacGilvray, MD
Associate Professor /Clinical and Vice Chair for Medical Student Education
Department of Family & Community Medicine
University of Texas Health, San Antonio
San Antonio, Texas

Ashfaq A. Marghoob, MD

29
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