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
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
Editor's Perspective »
Sports medicine reportedly drives a large number of folks to study podiatric medicine. However, it does not appear to be much of a priority at the majority of the podiatry schools. Only two schools offer a semester course in sports medicine in the third year. Virtually no residency program devotes significant time to sports medicine, according to one prominent podiatrist with an active sports medicine practice.
A professor at one of the colleges bluntly sums up her school’s commitment to sports medicine: “We truck in an expert every couple of years t
Diabetes Watch »
Skin ulceration of the lower extremity affects millions of people in the United States alone and may be secondary to a myriad of etiologies including pressure, metabolic, trauma, venous, arterial and diabetic neuropathy.1 The medical, psychosocial and financial impacts imposed by lower extremity ulcerations are tremendous. The attributable cost for the treatment of chronic lower extremity ulcerations has been estimated to be as high as $3.6 billion dollars per year.2 Medicare expenditures for lower extremity ulcer patients were, on average, three times h
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