Volume 18 - Issue 9 - September 2005
In recent years, there has been more of an emphasis upon podiatrists performing their own history and physical examinations (H&Ps) for the purposes of hospital admission. This was spurred on to a large degree by the pivotal ruling by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) in 2000 and the new residency models required by the Council on Podiatric Medical Education (CPME), which now require a minimum number of history and physical examinations during the residency training period.1,2 Most training programs will certainly exceed thi
Atopic dermatitis (AD) has a multiplicity of clinical presentations and many authorities consider it to be a syndrome. It is a chronic inflammatory pruritic skin disease that is often associated with elevated serum IgE levels and a personal or family history of type 1 allergies, allergic rhinitis and asthma. This condition is made up of a group of specific signs and symptoms that characterize the dermatological expression of the atopic diathesis.
Atopic dermatitis predominantly affects infants, children and young adults. Approximately 60 percent of th
Offering insights and pearls from their experience, these authors discuss essential preoperative and intraoperative steps for reducing the risk of complications from hammertoe surgery. They also offer salient advice for rectifying complications when they occur.
There are several reasons why patients undergo hammertoe surgery. While pain is the most common indication for hammertoe surgery, one cannot separate pain and cosmesis in many of these cases. Certainly, there are severe deformities associated with hammertoes and in many in
Treatment Dilemmas »
An athletic, 35 year-old male presents to the office four months after suffering an ankle sprain while playing soccer. In spite of a period of immobilization and a course of physical therapy, he has had continued pain and stiffness localized to the ankle joint. He has been wearing a lace-up ankle brace, icing the ankle and taking OTC NSAIDs.
A physical examination reveals mild tenderness upon palpation to the ankle joint line but there is no significant pain along the medial or lateral collateral ligaments. He has a negative anterior drawer. Routine X-ra
Getting a denial for claims is, at best, upsetting for both the doctor and staff. Often, the doctor sees this in a negative light. If the dollar amount in question is small, he or she may totally disregard it, believing it is “not worth it” to appeal. When repeated problems involving specific CPT or ICD-9 codes occur, DPMs sometimes select alternative coding choices, which may not be the best option either.
Instead of looking at a claim denial as a defeat, try to look at it as an educational opportunity. Unless one understands the reason for the deni
Continuing Education »
Increased plantar foot pressure is a leading cause of ulceration in the diabetic population.1 Healing these ulcers requires adequate blood supply, control of infection, excellent wound care and offloading or pressure redistribution of the ulcerative area.2-16 Out of all these factors, offloading presents a particularly unique challenge in treating chronic wounds. As diabetic foot care has evolved over the years, podiatrists have used numerous approaches including complete bed rest, cutout felt pads and total contact casting to offload these wounds.3
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