Volume 20 - Issue 8 - August 2007
Dermatology Diagnosis »
It is late in the summer when a 29-year-old Caucasian female, employed as a medical assistant in your foot and ankle clinic, presents with a two-day history of red spots on her feet. The red spots became small fluid-filled vesicles, which are present mostly on the soles. She says she has broken one of the small vesicles and it expressed a clear fluid.
The lesions are causing mild discomfort but are not very pruritic. Otherwise, she feels a little fatigued and reports a slightly elevated oral temperature today. Additionally, she reports a mild headache and a slight sore throat. She
Orthotics Q&A »
Pediatric equinus can be a challenging condition to diagnose and treat. With this in mind, these expert panelists discuss the differential diagnosis, the positioning of orthoses to control the condition, and the benefits that various modalities can have in managing the condition.
Q: How do you narrow down the differential diagnosis of pediatric equinus?
A: Edwin Harris, DPM, cites several possible causes for equinus deformity including: hemiplegic and diplegic cerebral palsy, muscular dystrophies, peripheral neuropathy, spinal cord pathology, acquired contractu
Practice Builders »
If there is one thing that I have learned in the past eight years that I did not know in my first six years of practice, it is this: work does not have to be full tilt stress. In the past two years, I have nearly perfected this motto. While I am certain there is still room for improvement, I would like to share some of the changes that allow me to maintain my level of desired profit while minimizing the stress along the way.
Let me first warn you that some of what I want to share may be controversial. Some ideas stray far from the commonly accepted ideas of many specialists. They ma
Sports Medicine »
To have a successful sports medicine practice, it is crucial to understand not only the foot and ankle but also the knee and hip, and the mechanism of injuries affecting these areas. Having the opportunity to treat and travel with the best runners in the world has forced me to have a stronger understanding of lower extremity biomechanics, the mechanics of running and the injuries associated with running.
The knee is the most commonly injured part of the body in runners. Most of these injuries are chronic, overuse type of injuries. Knee injuries are often caused by a failure of the i
Technology In Practice »
With a wide range of indications, the AmeriGel Wound Dressing can be helpful in treating an array of lower extremity wounds. According to AmerX Health Care, the manufacturer of the wound dressing, the product reduces the healing time of matrixectomies by 20 to 50 percent. AmerX Health Care adds that the dressing has a demonstrated efficacy of 77 percent in wound care applications.
The company says the AmeriGel Wound Dressing is the only FDA-approved, antimicrobial hydrogel. According to the company, the dressing is indicated for stage I-IV pressure ulcers, venous stasis ulcers, diab
All of life’s issues seem open for discussion in the doctor’s lounge. There is a pot of coffee going, a TV and a couple of computer terminals with eBay blocked. I have enjoyed visiting with my colleagues and sharing our struggles with medicine, raising kids, buying cars and investments. It is an axiom that it is never wise to invest in anything you learned about in the doctor’s lounge.
I was having coffee with an internist friend last week. We both started practice at about the same time. Initially he did not want to have much to do with a podiatrist. I found him t
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