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Key Insights On Assessing The Risk Factors For PAD

Anthony Yung, DPM, and Khurram Khan, DPM | 7,442 reads | 0 comments | 05/03/2008

Peripheral arterial disease (PAD) is a significant risk factor for diabetic foot amputation. It is also an important marker for atherosclerosis in other organ systems and is associated with a fourfold increase in cardiovascular death.1

What You Should Know About Screening For PAD

Benjamin Sefcik, DPM, and Peter M. Wilusz, DPM | 10,796 reads | 0 comments | 05/03/2008

We are an aging population. One can ascertain that with aging comes an increased incidence of comorbid conditions. With the vast majority of podiatric surgical cases being elective, documentation supporting the vascular system prior to surgery will protect the surgeon from postoperative complications associated with circulatory issues, or may help surgeons recognize an asymptomatic issue for appropriate intervention prior to surgery. Recognition of asymptomatic circulatory issues is of particular importance in the younger diabetic population prior to surgery.

Understanding The Dangers Of PVD And PAD

By Khurram Khan | 11,703 reads | 0 comments | 02/03/2002

Unfortunately, all too often, we shy away from valuable history and background information regarding the overall health of the patient. Many of us ask about diseases such as diabetes and some will routinely inquire about alcohol and smoking history. However, few of us spend the necessary time to truly evaluate and integrate historical data such as lipid profiles, etc. For example, peripheral vascular disease (PVD) is one finding in which we must consider all the historical information that is available in order to conduct a proper evaluation of the patient.

PAD Awareness Month And The Case For Limb Preservation

Desmond Bell DPM CWS FACCWS | 7,620 reads | 0 comments | 08/30/2012

Unlike October, which is abundant with the color pink and matching ribbons symbolizing Breast Cancer Awareness Month wherever we turn, we have no such ribbon for Peripheral Artery Disease (PAD) Awareness Month.

In this angiogram after laser and SilverHawk endovascular atherectomy, one can see opening of the anterior tibial artery of the right leg.

Assessing Vascular Surgery Options In Patients With PAD

Lauren A. Fisher, DPM, Hillarie L. Sizemore, DPM, and Khurram H. Khan, DPM | 16,103 reads | 0 comments | 07/03/2008

Peripheral arterial disease (PAD) is a very common condition that affects 20 to 30 percent of patients over 50 years of age, equating to an estimated 10 million Americans. As the population ages, the incidence of PAD will likely increase dramatically.1

Understanding The Correlation Between PAD And Diabetic Foot Ulcers

By Kazu Suzuki, DPM, CWS | 2,924 reads | 0 comments | 08/03/2008

Please click here for the full Continuing Medical Education article: http://www.naccme.com/program/2008-pd-8/ Given the significant dilemma of peripheral arterial disease and its strong association with diabetic complications in the lower extremity, this author reviews pertinent diagnostic keys and assesses the current research on treatment options.

Understanding The Effects Of PAD On The Diabetic Foot

Nicholas J. Bevilacqua, DPM, Lee C. Rogers, DPM, and George Andros, MD | 21,255 reads | 0 comments | 04/26/2010

The presence of peripheral arterial disease (PAD) in patients with diabetes can result in devastating complications. Multidisciplinary care is critical for these patients. Accordingly, these authors review the current literature and offer pertinent diagnostic insights and keys to effective treatment.

With diabetes affecting 5 to 10 percent of the U.S. population, effective management of diabetes-related complications is imperative both socially and fiscally.

Keys To Diagnosing And Addressing PAD In Patients With Wounds

Kazu Suzuki, DPM, CWS | 12,978 reads | 0 comments | 02/24/2011

With increasing numbers of elderly patients and patients with diabetes, clinicians will encounter more and more patients with wounds and ischemic legs. In the United States, an estimated 8 million patients, or approximately 12 percent of the adult population, have peripheral arterial disease (PAD).1 Accordingly, our expert panelists discuss pertinent diagnostic tips, appropriate referrals and how to ensure adequate follow-up on these high-risk patients who often present to wound care centers.

Key Insights On Working With Vascular Specialists To Manage PAD

Clinical Editor: Kazu Suzuki, DPM, CWS | 14,330 reads | 0 comments | 04/21/2011

When treating patients with peripheral arterial disease (PAD), it is vital to ensure proper referrals to trusted vascular specialists. These expert panelists discuss what information to include in referrals and how to manage wounds until patients can see vascular specialists.

A Closer Look At The Plantar Fat Pad In People With Diabetes

David G. Armstrong DPM MD PhD | 4,730 reads | 0 comments | 12/21/2009

At the Southern Arizona Limb Salvage Alliance (SALSA), we have been fascinated with a recent paper by our colleagues Hsu and co-workers from the Chang Gung Memorial Hospital and National Taiwan University Hospital.

These authors suggest that the plantar fat pad -- that specialized fat that exists on the sole of every one of us -- may undergo changes in people with diabetes. To make a long story short, fewer small “microchambers” of fat make it less cushy and more susceptible to ulceration.