Volume 22 - Issue 12 - December 2009

Online Exclusive »

A Guide To Lower Extremity Cutaneous Manifestations In Patients With HIV Infections

Robert G. Smith, DPM, MSc, RPh, CPed | 12907 reads | 2 comments

Reportedly 20 percent of people with HIV are unaware of the infection. Podiatrists may play a key role in recognizing the cutaneous manifestations of HIV and AIDS in the lower extremity and facilitating appropriate referrals. Accordingly, this author reviews various dermatological side effects and presents salient treatment options.

Forum »

Tales From The Frontlines Of Daily Shoe Battles

Kevin A. Kirby, DPM | 3491 reads | 0 comments

   Shoe battles occur daily in my practice. Many of my patients want to wear certain types of shoes they feel are necessary to have the “style” to promote themselves in their workplace, to look attractive and also to feel good about themselves.

   In many cases, these shoes that are an integral part of the fashion accessories that allow individuals to achieve a certain appearance are also the main cause of the foot pathologies that have brought these people to my office.

New Products »

New Products December 2009

3426 reads | 0 comments

Pain-Free Dressing Removal

   Removing wound dressings may cause discomfort for the patient, not to mention possible trauma to the wound.

   However, the Silvercel Non-Adherent antimicrobial dressing features a non-adherent layer that enables the dressing to control infection and minimize trauma with dressing changes, according to the product’s manufacturer Systagenix Wound Management.

Practice Builders »

Keeping Patients In Your Practice: A New Paradigm For Treating Infections

Andrew Rice, DPM, FACFAS | 34158 reads | 0 comments

   It is vital to have a network of multidisciplinary specialists to whom one can refer patients. While appropriate referrals are key to ensuring optimal outcomes, the DPM should take the lead in facilitating the best treatment choices for patient care.

Dermatology Diagnosis »

When A Patient Has A Discolored Onychomycotic Toenail

Henry J. Carson, MD, and Eugene Nassif, DPM | 17137 reads | 0 comments

   While research has shown that onychomycosis is more common in patients with diabetes, we need to be cognizant of different etiologies and perhaps reexamine those when an initial treatment course fails to get results.1

   A 36-year-old woman presented with a six-month history of a discolored toenail of the right great toe.

   She was a moderately overweight Caucasian woman with a 20-year history of juvenile-onset diabetes mellitus. She had poor to moderate control of her disease.

Diabetes Watch »

Examining The Role Of NPWT In Limb Salvage

Marie Keplinger, DPM, and John S. Steinberg, DPM | 10467 reads | 0 comments

   Diabetic foot ulcerations are a significant public health concern and cause an increasingly heavy demand on our healthcare systems. Diabetic foot infections cause more than 300,000 admissions to hospitals each year, leading to approximately 92,000 amputations.1 The resulting wounds require intensive local wound care and are slow to heal, resulting in prolonged disability and hospitalization.

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