Cath Lab Digest

Continuing Education Info

Target Audience: Podiatrists, Internists, Family Practitioners, Surgeons and Endocrinologists
Completion Time: The estimated time to complete this supplement is one hour.
Learning Objectives: Upon completion of this educational activity, the participant should be able to:
• describe pathways to foot ulceration in diabetic patients;
• list the most frequent and important bacteria that cause diabetic foot infections;
• identify the key elements of diagnosing soft tissue infection;
• identify the key elements and controversies surrounding diagnosis of bone infection;
• select an appropriate antibiotic regimen for treating diabetic foot infections; and
• discuss resistant organisms in diabetic foot lesions, their consequences and management.
Disclosure Policy: All faculty participating in Continuing Medical Education programs sponsored by HMP Communications are expected to disclose to the participants any real or apparent conflict(s) of interest related to the content of their presentation.
David Armstrong, DPM, has disclosed that he is a member of the speaker’s bureau and has received research grants from Merck, Pharmacia and Smith and Nephew.
Andrew Boulton, MD, has disclosed that he is a member of the speaker’s bureau for Pharmacia.
Warren Joseph, DPM, has disclosed that he is a member of the speaker’s bureau for Merck and Pharmacia.
Benjamin Lipsky, MD, has disclosed that he is a member of the speaker’s bureau for Merck, Pharmacia and Smith & Nephew. He has received research grants from Pharmacia, Merck and Wyeth-Ayerst.

Participation
Participation: Read the supplement, take, submit and pass the post-test by January 31, 2004.
Release Date: January 2003
Expiration Date: January 31, 2004
Commercial Support Disclosure: This activity has been supported by an educational grant from Pharmacia.
Accreditation Statements: This activity has been planned and produced in accordance with the ACCME Essential Areas and Policies.
HMP Communications, LLC is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
HMP Communications is approved by the Council on Podiatric Medical Education as a sponsor of continuing education in podiatric medicine.

Designation Statements:
AMA: HMP Communications, LLC designates this continuing medical education activity for a maximum of 1 credit hour in category 1 credit toward the AMA Physician’s Recognition Award. Each physician should claim only those hours of credit that he/she actually spent in the educational activity.
CPME: This program is approved for 1 continuing education contact hour or 0.1 CEUs.
How To Obtain Education Credits: Participants must score at least 70 percent on the questions and successfully complete the entire evaluation form (found on page 27), make a copy of the entire evaluation form and send it to the address listed below. Certificates will be mailed to those who successfully complete the learning assignment by January 31, 2004.

Fax or mail the completed form to:
Trish Levy
Director, Medical Education
HMP Communications
83 General Warren Boulevard
Suite 100
Malvern, PA 19355
Fax: (610) 560-0502

Continuing Education Quiz
Choose the single best answer to the following questions.

1. What is the key diabetes-related complication that results in an ulceration that can become infected?

a) vascular disease
b) peripheral neuropathy
c) hyperglycemia
d) ketosis

2. Which of the following carries the greatest risk of developing a foot ulcer?

a) sensory neuropathy
b) peripheral vascular disease
c) a past history of ulceration
d) limited joint mobility

3. The diagnosis of osteomyelitis is best made through …

a) a probe to bone test
b) serial radiographs
c) an MRI
d) a bone biopsy
e) a combination of clinical and laboratory/radiologic modalities, if available

4. What category of bacteria are the most common pathogens in diabetic foot infections?