Volume 17 - Issue 12 - December 2004
Sports Medicine »
Recognizing And Preventing Dehydration In Athletes
Fluid replacement is an important part of any athletic regimen, but proper hydration is one of the most neglected aspects of the athlete’s diet. Now that podiatrists are active members of the medical teams servicing many types of athletic events (and often act as medical directors and co-directors), it is vital to have a working knowledge of the signs and symptoms of dehydration. Active sports medicine podiatrists should also be able to develop a plan for establishing hydration protocols at sporting events.
When athletes engage in sport, they will lose
News and Trends »
Experts Weigh In On Continued Rise Of MRSA
Methicillin resistant Staph aureus (MRSA) infections are on the rise around the world as infections pass between hospitals and the community. The infections are not only associated with morbidity and mortality but also pose a high financial cost to patients and the healthcare profession, according to experts. What is causing the rise in antibiotic resistance and what steps should DPMs take to prevent and combat infection?
The incidence of MRSA infection has increased 40 percent in five years and one-third of pneumonia among patients on ventilators
Feature »
A Closer Look At Deep Vein Thrombosis
Venous thromboembolism (VTE) or deep vein thrombosis (DVT) is a common medical condition associated with considerable morbidity and mortality. Undiagnosed and untreated VTE can put patients at an unacceptable risk for a pulmonary embolism, which can be fatal. Thromboemboli account for 600,000 new cases, 300,000 admissions and approximately 100,000 deaths a year. Given that VTE has a recurrence rate of approximately 30 percent, early diagnosis and treatment are imperative.
In order to understand the risk factors of deep vein thrombosis (DVT), one must firs
Feature »
Rethinking Tarsal Tunnel Syndrome
Podiatrists have been treating tarsal tunnel syndrome (TTS) conservatively for decades although there is no clinical outcome study to document the effectiveness of orthotics for this syndrome. Most podiatrists rely on the anecdotal evidence and their own experience to prescribe orthoses, which are intended to change the position of the foot and reduce the trauma and traction of the posterior tibial nerve at the flexor retinaculum.
First defined by Keck in 1962, tarsal tunnel syndrome is a relatively common problem that podiatrists see in their practice an
Feature »
How To Detect And Treat Granuloma Annulare
Granuloma annulare (GA) is a benign inflammatory, self-limiting granulomatous dermatoses characterized by a variable clinical presentation of dermal and subcutaneous lesions. Although this condition may occur at any age, it is predominantly a disease of children ranging in age from 2 to 10 and adults who are younger than 30. GA is very common in young females as they are twice as likely to be affected than males. Foot involvement occurs in more than 70 percent of all patients with GA and hand involvement occurs in 60 percent of patients.
The lesions may
Feature »
Can JCAHO Patient Safety Goals Have An Impact?
Everyone dreads the potential experience of making a mistake that affects patient care. However, the complexity of healthcare lends itself to these situations. Caring for patients requires a series of interconnecting steps in order to produce the desired outcome. As physicians and surgeons try to minimize the variables that arise, there are still factors, some of which we are accountable for and some not, that can add up to a bad clinical outcome.
Many states have regulations that require licensed healthcare facilities, such as hospitals and nursing homes, to report any unusual patient care p
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