I am pleased to introduce the latest article, “How To Perform A Thorough Vascular Exam,” in our CE series. This series, brought to you by the North American Center for Continuing Medical Education (NACCME), consists of complimentary CE activities that qualify for one continuing education contact hour (.1 CEU). Readers will not be required to pay a processing fee for this course.
Peripheral vascular disease can be a key contributing factor in lower extremity amputation. With this in mind, Daniel T. Halloran, DPM, Peter A. Blume, DPM, Michael G. Palladino, DPM, and Bauer E. Sumpio, MD, PhD, offer an informative primer on diagnostic screening tools ranging from the ankle-brachial index (ABI) and segmental limb pressure measurements to the toe brachial index and pulse volume recordings.
At the end of this article, you’ll find a 10-question exam. Please mark your responses on the enclosed postcard and return it to NACCME. This course will be posted on Podiatry Today’s Web site (www.podiatrytoday.com) roughly one month after the publication date. I hope this CE series contributes to your clinical skills.
Jeff A. Hall
INSTRUCTIONS: Physicians may receive one continuing education contact hour (.1 CEU) by reading the article on pg. 76 and successfully answering the questions on pg. 82. Use the enclosed card provided to submit your answers or log on to www.podiatrytoday.com and respond via fax to (610) 560-0502.
ACCREDITATION: NACCME is approved by the Council on Podiatric Medical Education as a sponsor of continuing education in podiatric medicine.
DESIGNATION: This activity is approved for 1 continuing education contact hour or .1 CEU.
DISCLOSURE POLICY: All faculty participating in Continuing Education programs sponsored by NACCME are expected to disclose to the audience any real or apparent conflicts of interest related to the content of their presentation.
DISCLOSURE STATEMENTS: Drs. Halloran, Blume, Palladino and Sumpio have disclosed that they have no significant financial relationship with any organization that could be perceived as a real or apparent conflict of interest in the context of the subject of their presentation.
GRADING: Answers to the CE exam will be graded by NACCME. Within 60 days, you will be advised that you have passed or failed the exam. A score of 70 percent or above will comprise a passing grade. A certificate will be awarded to participants who successfully complete the exam.
TARGET AUDIENCE: Podiatrists
RELEASE DATE: May 2007
EXPIRATION DATE: May 31, 2008
LEARNING OBJECTIVES: At the conclusion of this activity, participants should be able to:
• discuss clinical signs and symptoms of arterial insufficiency;
• describe how a visual inspection of the color of the foot can enable one to assess the degree of arterial insufficiency;
• describe the location and appearance of lower extremity ulcers caused by ischemia;
• review the importance of segmental pressure measurements;
• explain why the toe brachial index (TBI) is more reliable than segmental pressures in assessing foot perfusion among patients with diabetes; and
• discuss the pros and cons of transcutaneous oxygen (TcPO2).
Sponsored by the North American Center for Continuing Medical Education.