myDermPath 1.2

Overview:
The architecture of the application keeps the data and image content separate from application itself. Images are stored on a secured website allowing a faster down load speed and additions/changes to images in future upgrades. The algorithm data is stored on the application itself but is refreshed if there is internet connection. This will allow you to browse algorithm data even in the absence of an internet connection; however images are only available with an internet connection.

myDermPath Algorithm:
This section has the entire subject content of dermatopathology in an algorithmic fashion. Nearly every entity has been included, both common and rare. The algorithm progresses by asking a series of questions about the histologic findings from one page to another with each click, but there is a button at the bottom of the page (Bread crumbs) to show all the steps on one page. Once you reach a diagnosis, the histological features of the entity and a histological image are shown. The images can be enlarged to full screen and with a drag of the fingers can be enlarged further. The Show annotations button will highlight the salient key features for each entity. For clinico-pathological correlation, clinical features of each entity are provided along with a clinical image. Differential diagnoses are included and one can jump directly to the differential diagnosis by a single click. Management provides Work-up Considerations and treatment for each entity. Trivia includes any mutations, drug interactions, etc. that may be associated with the entity and are commonly asked on exams. You can connect to the cloud and view a virtual slide by clicking the digital slide button. You can type in your own notes using the key-MyNotes. The camera key lets you take and store images for each entity. The Reference key will take you directly to PubMed with all the references on that topic.

Search by Diagnosis:
Like using the index in a book, one can directly search for an entity rather than following the algorithm.

Special Stains:
This page contains a list of the common special stains typically used in dermatopathology. Once you know what you are looking for, the app can help in deciding what stains to use and also show an image as to how the stain will look.

Immunohistochemistry:
This section includes an extensive list of immunohistochemical markers used in dermatopathology. Each immunostain has a brief description of where it is most useful, along with an illustration of the stain. This section also has an algorithm that suggests immunomarkers through a multitude of real-life diagnostic dilemmas. There are algorithms that address commonly asked questions such as which immunostains to use in spindle cell neoplasms, epithelioid neoplasms or round cell neoplasms.

Direct Immunofluorescence:
This provides a list of the various diagnoses in which immunofluorescence has value. Each entity is discussed in detail, including histological and immunofluorescence findings and supplemented with an immunofluorescence image. In addition, there is an algorithm of the different patterns of immunofluorescence, allowing you to arrive at a diagnosis based on the answer to patterns visualized.

Normal Skin Histology:
This shows the normal skin histology via an animated movie presentation. It also includes normal hair anatomy and the ultra-structural configuration of the basement membrane and desmosomes. There is a background voice-over (Dr.Elston), through the entire animation.

For web support, please go to mydermpath.com and for any issues and feedback, you can send an email to skinpathology@gmail.com