Volume 17 - Issue 9 - September 2004

Wound Care Q&A »

Key Insights On Managing Infected Diabetic Ulcers

Clinical Editor: Lawrence Karlock, DPM | 12383 reads | 0 comments

Assessing and treating infected diabetic foot wounds can be challenging. Providing timely treatment is essential given the potential complications of diabetic foot infections but the rise in antibiotic resistance is a key issue to consider. With this in mind, our expert panelists discuss a variety of issues, ranging from empiric antibiotic selection and MRSA infected wounds to their approach in diagnosing osteomyelitis.

Q: What empiric antibiotics do you utilize for the infected neuropathic diabetic foot ulcer?
A:
Systemic antibiotics are unnecessary unless there is evidence of os



Feature »

A Closer Look At Nuclear Medical Imaging

By Molly S. Judge, DPM, CNMT, and Nellie L. Kelty, MAS, CNMT | 13488 reads | 0 comments

When a patient with Charcot neuroarthropathy presents with an acutely symptomatic limb, joint or a non-healing wound, the differential diagnosis always includes infection. Bone and joint infections are naturally associated with a high degree of potential morbidity. This potential morbidity is significantly increased when there is a delay in diagnosis or when the diagnosis is missed altogether. Therefore, validating a definitive diagnosis of infection and clarifying when it involves bone is essential to providing appropriate and timely treatment.
Nuclear medicine leukocyte imaging (NMLI) allow



Feature »

A Guide To Skin Conditions Of The Diabetic Foot

By Robert G. Smith, DPM, RPh, CPed | 32881 reads | 0 comments

One-third of the 17 million patients with diabetes develop manifestations of the disease that affect their skin.1,2 The cutaneous manifestations and signs of diabetes can heighten the suspicions of the practitioner regarding the diagnosis of these skin conditions. Patients with diabetes who have peripheral sensory neuropathy and impaired circulation are at an increased risk of developing complications from skin and nail conditions like onychomycosis.3 These skin changes of the foot can lead to the formation of a diabetic foot ulcer and potentially limb-threatening infecti



Continuing Education »

Inside Insights On Shoewear Modifications

By David J. Levine, DPM, CPed | 9907 reads | 0 comments

Slipping on the heel and feeling that shoes are too tight or too big are sensations that we have all experienced with shoes that do not fit properly. We know not to wear shoes when they do not fit or feel right on our feet. Factor in those who are dealing with the effects of neuropathy, poor circulation, edema and obesity, and it is clear that shoes are not just a fashionable accessory, but essential medical devices that help protect and manage certain conditions we treat.
Shoes are the foundation for podiatric treatment. Even more importantly, in the realm of wound healing, surgical inter



Editor's Perspective »

Reminiscing About College, Enthusiasm And New Ideas

By Jeff Hall, Editor in Chief | 2068 reads | 0 comments

A few weeks back, I drove up to North Jersey to join the rest of my family in celebrating the first birthday of my niece Madison. My sister Steph tried to make the most of the unwrapping of the gifts but Maddie was way past her naptime and struggled to feign mild disinterest. My other nieces McKenna and Maya, who are three and a half and a year and a half old respectively, were only too eager to step in and open the presents for their cousin. Their eyes lit up and their enthusiasm was in overdrive, no doubt fueled by the sugary rush of the birthday cake.
Shortly afterward, I tried to muster



Feature »

Current Concepts In Treating Hallux Valgus

By Michael M. Cohen, DPM | 12831 reads | 0 comments

In the search to find the perfect osteotomy for treating hallux valgus, podiatrists have developed an extensive surgical armamentarium, which includes modifications, as well as modifications of modifications of procedures, to the point where it has become dizzying. Ultimately, our experiences have led most of us to succumb to the fact that “one size does not fit all” when dealing with this common malady and no osteotomy is completely infallible.
We all have our favorites and naturally tend to employ those procedures that we are most comfortable using. Debates and arguments concerning whi



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