Psoriasis SOP - Henry Schein

13MS9151 Psoriasis SOP web_Layout 1 10/7/13 12:25 PM Page 1
SOP
PSORIASIS
Psoriasis is the most common autoimmune disease
in the U.S. - As many as 7.5 million Americans
have psoriasis and at least half of all the people
who have psoriasis have it on their scalp.
Source – National Psoriasis Foundation
The total cost of psoriasis in the U.S. is estimated at $11.25
billion due to medical expenses and lost wages.
Source: Journal of the American Academy
of Dermatology, November 2008
IP730
106-9122
308 EXCIMER SYSTEM
The Handy, Highly Effective Solution
for Monochromatic UVB Therapy
BIOPSY NATIONAL AVERAGE PAYMENTS*
CPT
Code
11100
Short
Descriptor
Biopsy Skin Lesion
Professional
Component
$102.27
Technical
Component
$49.61
Emollients are a basic, yet important part of the psoriasis
treatment regimen. Moisturizers are capable of improving
the appearance of the lesions by providing hydration and
reducing the scaly presentation.
Source: Steven R. Feldman, 1998
iF Skin Care® Ultra Zinc Cream is
an over-the-counter cream used to
reduce the discomfort and symptoms
associated with eczema and seborrheic
dermatitis. Formulated with 0.25%
Zinc Pyrithione, this product is one of the
most effective anti-itching and anti-flaking
agents available and provides relief to
those who suffer from chronic skin
conditions such as poison ivy, poison oak,
rashes, contact dermatitis, and mild cases
of psoriasis and eczema.
187-0104
*Source CMS Data. Consult your local fee schedule for actual
reimbursements, facility fees, and modifiers.
Theraplex® Emollient is ideal for those
who have severe dry skin, suffering from
eczema, xerosis, and psoriasis. The quick
absorbing formula penetrates in a matter
of seconds to deliver instant hydration.
Hydrosilicone allows the emollient to soak
deep within the skin, for lasting moisture.
This noncomedogenic, fragrance-free
emollient can be used for immediate
daily relief.
> CLINICALLY PROVEN EFFECTIVENESS
FOR PSORIASIS AND VITILIGO
119-3889
119-3890
> SMALL, MOBILE AND EASY TO USE
> COST-EFFECTIVE EXCIMER TECHNOLOGY
Complete Excimer Laser Solution
STANDARD
OPERATING
PROCEDURE
4.3 oz. Jar
8 oz. Jar
Theraplex® ClearLotion is a light, fast
penetrating emollient oil which is ideal
for use after showering or bathing.
119-3888
• Monochromatic UVB light has established itself for
the treatment of various autoimmune skin diseases.
• Treatment solution for intense monochromatic
UVB phototherapy.
• With 308 nm, it applies the same wavelength
as an excimer laser but without expensive, bulky
laser technology.
8 oz. Bottle
Our team of over 600 Sales Consultants
and Equipment Specialists comprise
your reliable network of trusted advisors,
helping you make the best investments,
generate greater revenue, and deliver
optimum outcomes.
The 308 EXCIMER SYSTEM: excimer technology in
the palm of your hands.
Treatments with the 308 EXCIMER SYSTEM are especially
intense and effective. The powerful system with its 16 cm2
spot precisely targets the lesions, leaving healthy
skin unexposed.
Call your Henry Schein Sales Consultant for
a complementary demonstration today!
4 oz. Jar
www.henryschein.com/dermlab
Call us to schedule a complimentary
in-office consultation.
1-800-772-4346
www.henryschein.com/dermconditions
13MS9151 Psoriasis SOP web_Layout 1 10/7/13 12:26 PM Page 2
13MS9151
Practice Essentials for Physicians Who Diagnose and Treat Psoriasis
SURGICAL TISSUE PROCESSING, cont’d
SURGICAL TISSUE PROCESSING, cont’d
SURGICAL TISSUE PROCESSING, cont’d
STEP 6: SECTIONING
STEP 10: MOUNTING
(4-6 micrometers thick on Microtome)
DISPOSABLE MICROTOME BLADES:
109-7993 Accu-Edge® Low Profile 14mm
409-3135 Accu-Edge® High Profile 18mm
106-2565 Shandon High Profile
106-2906 Accu-Edge® Low Profile 14mm
357-1501 Accu-Edge® Low Profile Thin w/Dispenser
(Using Mounting Media & Cover Slip- See Slides)
MOUNTING MEDIA:
334-7213 Cytoseal® 60 Low Viscosity
(Toluene Based For Use with Cover Glass)
122-6901 Permount®
(Toluene Based For Hand Coverslippers)
106-7123 SHUR/Mount™
(Xylene Based For Automated Coverslippers)
Super Mount
DECALCIFYING SOLUTION:
120-1248 HCl-EDTA Rapid Decal
BIOPSY AND EXCISION SUPPLIES
600-4289 Carnoy’s Fixative
120-8724 Ethanol Alcohol 95% 200 Proof
296-5484 Ethyl Alcohol, Denatured 95%
(Also Known As Ethanol, Denatured Alcohol, Algarin Denatured,
Ethyl Hydrate Denatured, Grain Alcohol Denatured)
364-6848 Ethanol 100%
600-4289 Formalin Aceto-Alcohol
(FAA Solution or Carnoy’s Solution)
110-5855 Pen Fix 4
465-7363 Picric Acid
106-3078 SafeFix II (Formalin Substitute)
234-6266 Zinfix® Zinc Formalin Fixative
(Formalin Substitute-Low Formaldehyde)
Biopsy Punches- Sterile Blue Each
900-4864 2.0mm
900-4866 3.0mm
900-4868 4.0mm
900-4870 6.0mm
GROSSING PRODUCTS:
117-6985 Dissection Board
117-7088 Grossing and Embedding Forceps-Long
117-7089 Grossing and Embedding Forceps-Short
117-7075 Scalpel Blade #22
PROCEDURE PREP SUPPLIES
Alcohol Prep Pad
Medium
890-0236 Sterile
315-9974 Needle
30 Ga. x ½"
Compare to Xylocaine®
248-0644 Lidocaine 1%
50 mL
Surgical Marker
Blue
(Contains Non-Irritating Gentian Violet Ink)
900-7019 Sterile w/Ruler and 6-Up Labels, Taper Tip
900-7018 Non Sterile Pen, Taper Tip
900-7020 Non Sterile Mini Pen
900-4865
900-4867
900-4869
900-4871
200/Box
100/Box
50/Box
100/Box
100/Box
2.5mm
3.5mm
5.0mm
8.0mm
Gallon
Gallon
Gallon
16 oz.
Gallon
Gallon/Case
32 oz.
Gallon
Gallon
Each
Each
Each
100/Box
STEP 2: DEHYDRATION
SURGICAL INSTRUMENTS
953-7731
780-0121
953-5215
953-3539
953-4705
953-3356
953-3863
953-3443
953-4108
100-3532
(For Specimen Collection)
®
BiopBlade
Derma Blade®
Fox Dermal Curette 5½” 3mm
Iris Scissors 3½” Curved Delicate
Adson Forceps with Platform 1”x 2”
Steven Tenotomy Scissors 4½” Curved
Halsted Mosquito Forceps 3½” Straight
Halsted Mosquito Forceps 4” Curved
Webster Needle Holder 4¾, Smooth
Siegel Knife Handle 6”
50/Box
50/Box
Each
Each
Each
Each
Each
Each
Each
Each
(Dehydrating agents in varying strengths to remove water from tissue)
10/Box
112-6181
Scalpel Blades- Stainless Steel 10/Box
112-6199 #10 Blades
112-6178
(Agent That Removes the Dehydrant From Tissue in Preparation for Infiltration)
#15 Blades
CLEARING AGENTS:
230-7984 Clear-Rite 3™ Solvent
(Can Be Used In All Tissue Processors and Automatic Stainers)
357-0333 d-Limonine, Purified
(Citrus-Based Xylene Substitute)
120-3130 Safe-Clear
114-7751 Histo-Clear™
120-4629 Xylene
#15 Blades
SURGICAL TISSUE PROCESSING
STEP 1: FIXATION
(Agents to Stabilize Tissue Proteins)
120-8911 Formalin, 10% Buffered
(NBF or Neutral Buffered Formalin)
OTHER FIXATIVES:
108-3646 Acetic Acid 10%
118-3715 Bouin’s Fixative
120-6709 Bouin’s Fixative
115-3491 Glacial Acetic Acid
(Also Known As Ethanoic Acid)
120-0443 Acetone
120-2827 Acetone
Gallon
16 oz.
Liter
Gallon
16 oz.
16 oz.
Gallon
STEP 7: ATTACHING SPECIMEN TO SLIDES
MICROSCOPE SLIDES
424-0039 Cover Glass
24mm x 60mm
4 oz.
100 mL
4 oz. x 12/Case
Gallon
Each
102-6803 Cover Glass
#2 22mm square
100-0424 Glass Plain
3” x 1”
868-0134 Positively Charged
25mm x 75mm x 1mm
Positively Charged
10 Packs/Case
Specify:
117-7059
Blue
117-7061
117-7060
Green
117-7063
635-8945 Superfrost 3” x 1”
110-7788 Lysine Coated
1 oz./Pkg.
72/Pkg
72/Pkg.
Pink
Yellow
72/Pkg.
2 x 72/Pkg.
TRANSPORT & LAB SUPPLIES
117-7007 Biopsy Pads
115-1725 Biopsy Cassette
White
115-1911 Prefilled Formalin Jar
115-1912 Prefilled Formalin Jar
117-7048 Xylene Resistant Pen (for marking samples)
We carry a full line of sample transport products from Simport
1000/Pack
1500/Case
96 x 20 mL/Case
96 x 40 mL/Case
10/Box
DIAGNOSTICS
DEHYDRATING REAGENTS:
114-4218 Flex 80% Alcohol
4 Gallons/Case
113-7933 Flex 95% Alcohol
4 Gallons/Case
113-7936 Flex 100% Alcohol
4 Gallons/Case
(Premixed Blend of Methyl and Isopropyl Alcohol for H&E Staining)
120-9026 Ammonium Hydroxide
500 mL
(For H &E Staining)
120-7599 Deionized Water (Di)
20 Liters/Box
STEP 3: CLEARING
Scalpel Blades- Carbon Steel
112-6183 #10 Blades
50/Pack
50/Pack
50/Pack
50/Pack
50/Pack
4 Gallons/Case
4 Gallons/Case
Gallon
Gallon
Gallon
STEP 4: PARAFFIN IMPREGNATION
117-6971
114-9984
114-9985
Paraffin
Base Mold
Base Mold
1 Kg/Pack
12/Pack
12/Pack
15 x 15 x 5
24 x 24 x 5
STEP 5: EMBEDDING
(To make the tissue as a block of hard paraffin)
EMBEDDING MEDIA:
102-3734 Cryo O.C.T.
116-1233 Paraplast® Plus
106-4135 Tissue-Tek® O.C.T. Compound
(Frozen Tissue Matrix)
4 oz.
8 x 1kg /Case
4 oz.
(Prior to prescribing or treating with biologics)
STEP 8: DEPARAFFINIZATION
(Dissolution of Paraffin- See Xylene and Ethanol Alcohol)
108-4443 Mineral Oil, Light
329-3045 Mineral Oil, Lab Grade
16 oz.
Liter
STEP 9: STAINING
(Standard Staining Method Is H & E)
HISTOLOGY STAINS:
113-5593 Clarifier 1
799-1780 Clarifier 2
(For Improved Contrast t & Increased Cell Transparency)
831-6922 Diff-Quik Stain Set
(Also known as Romanowski Stain)
113-4902 Eosin-Y Stain Solution 1%
906-6070 Eosin-Y Working Solution
(Also Eosin Y & Alcohol)
652-8573 Eosin-Y Stain Solution 1%
(Also Eosin Y & Alcohol)
424-6155 Harris Hematoxylin Stain (Mercury-Free)
398-4749 Gills I Hematoxylin
106-2893 Gills II Hematoxylin
487-7361 Gills III Hematoxylin
230-4808 Gills III Hematoxylin
106-7191 Tissue Marking Dye, 4mL
925-7517 Toluidine Blue 0.1%
925-4103 Toluidine Blue 1%
(Also Called Diff-Quik or Romanowski Stain)
BLUING AGENT:
608-5631 Substitute for Scott’s Tap Water
106-2876 Bluing Reagent (For H & E Staining)
Gallon
Gallon
3 x 500 mL
16 oz.
32 oz.
32 oz.
500 mL
Gallon
4x16 oz./Case
33.8 oz.
Gallon
6 Color Kit
8 oz.
16 oz.
Gallon
Gallon
TB
110-5099
Herpes
630-3080
Aplisol
5mL/Vial
50 Tests/Box
Biokit
HSV-2
20 Tests/Box
Strep
107-4050 One Step
HIV
104-3399 Uni-Gold Recombigen Test
We have a full line of blood collection products
25 Tests/Box
20 Tests/Box
SYSTEMIC DRUGS
840-8901
111-9161
113-2959
729-0021
110-1506
Humira® 40 Mg/0.8 mL Pen
Methotrexate Sodium Tabs 2.5mg
Soriatane® 25mg
Stelara® Pre-Filled Syringe
Sulfasalazine Tablets 500mg
2/Pack
100
Kit
45 mg
500
TOPICAL TREATMENTS
911-0011
911-3536
110-7614
248-0226
102-0039
408-0121
248-0230
377-8805
930-0003
472-1403
115-8071
Aquaphor® Ointment
Aquaphor® Ointment
Coal Tar Topical Solution
Cordran Tape
Clobetasol Propionate 0.05%
Desonide® 0.05%
Dovenex® 0.005% Cream
Tazorac® Cream 0.1%
Temovate® 0.05% Ointment
Temovate® 0.05% Scalp Solution
Triamcinolone Acetonide Cream 0.02%
144/Box
14 oz.
500 mL
3" x 80" Roll
15 Gm Tube
15 Gm Tube
120 Gm Tube
30 Gm Tube
30 Gm Tube
50 mL Bottle
15 Gm Tube
We stock over 90,0000 products to support your diagnostic and treatment protocols.
If you don’t see what you need for your practice, call your Henry Schein Sales Consultant or visit: www.henryschein.com/dermconditions
To Order:
1.800.P.SCHEIN (1.800.772.4346) 8am–9pm, et
•
To Fax: 1.800.329.9109 24 Hrs
•
www.henryschein.com/dermconditions