CLINICAL EVENTS CALENDAR
- Apr 08,2010Apr 11,2010Update 2010: Reconstructive Surgery of the Foot & Ankle04/08/2010 - 10:4304/11/2010 - 10:43website:
Podiatry Institute
Crowne Plaza Ravinia, Atlanta, GA - Apr 17,2010Apr 20,20102010 SAWC Spring04/17/2010 - 11:2304/20/2010 - 11:23website:
Gaylord Palms Hotel and Convention Center
Orlando, FL - Apr 29,2010May 02,2010Surgical Pearls by the Sea: Current Trends in Foot and Ankle Surgery04/29/2010 - 10:4405/02/2010 - 10:44website:
Podiatry Institute
Newport Marriott, Newport, RI - May 13,2010May 15,2010Wine Country Podiatric Symposium: Escape to Napa Valley05/13/2010 - 10:4505/15/2010 - 10:45website:
Podiatry Institute
Napa Valley Marriott Hotel & Spa, Napa Valley, CA
Non-Accredited Education
Managing the Diabetic Foot: A Clinical and Economic View Complimentary Archived Webcast
Non-Accredited
Understanding Collagen Dressings and their Benefit in Wound Care
Complimentary Archived Webcast
non-accredited
Dermatology Diagnosis
When A Patient Has A Discolored Onychomycotic Toenail
While research has shown that onychomycosis is more common in patients with diabetes, we need to be cognizant of different etiologies and perhaps reexamine those when an initial treatment course fails to get results.1
A 36-year-old woman presented with a six-month history of a discolored toenail of the right great toe.
She was a moderately overweight Caucasian woman with a 20-year history of juvenile-onset diabetes mellitus. She had poor to moderate control of her disease.
When A Patient Presents With A Painful Red Toe
As winter approaches, patients must be aware of the punishing effects of cold on the lower extremity. Given that patients with feet affected by the falling temperatures may present more commonly to podiatric offices, a correct diagnosis and treatment are vital.
When An Elderly Patient Presents With A Painful Blister And Swelling
An 85-year-old Caucasian male presents with a heel ulcer after spending eight weeks in a rehabiltation home following hip replacement surgery. He presently spends much of his time in a lounge chair or in a wheelchair. He has a history of angina, arthritis, aortic valve replacement, prostate cancer with radiation treatment and Parkinson’s disease. He is taking carbidopa-levodopa (Sinemat, Merck), ropinirole (Requip, GlaxoSmithKline) and warfarin (Coumadin, Bristol-Myers Squibb). He is allergic to sulfa.
The patient initially underwent a workup and a debr
When A Patient Presents With Malodorous, Macerated Feet
Key Questions To Consider
1. What essential question does one still need to help make the diagnosis?
2. What is the tentative diagnosis?
3. Can you list at least three differential diagnoses?
4. What features in this condition differentiate it from other conditions?
5. What is the suitable treatment of this condition?
A 27-year-old Caucasian male presents with a history of a strong smell of the feet for the past five years. He is very active in sports. The p
Treating A Pigmented, Slightly Pruritic Nodule
A 37-year-old Caucasian male presents with a chief complaint of a nodular growth on the left calf. He first noticed the bump about two months ago but says he did not think too much about it until recently. At that time, he noticed it was causing mild discomfort when he touched it but the growth was only slightly pruritic. The lesion did not appear to be infected and it did not drain or bleed at any time. He says he checked the rest of his body for any similar looking lesions and found none. Otherwise, he has no other complaints or concerns.
The patient has not changed his diet or eating hab
When A Patient Has Increased Thickening Of The Skin And Increased Discoloration
Key Questions To Consider
1. What essential question does one still need to ask to help make the diagnosis?
2. What is the tentative diagnosis?
3. Can you list at least three differential diagnoses?
4. What features in this condition differentiate it from other conditions?
5. What is the suitable treatment of this condition?
A 26-year-old African-American female presents with thickening of the skin on the soles and sides of her feet as well as discoloration on two of her toes. She says the discoloration and thickening started eight years ago and has slowly become worse over time.
When A Patient Presents With Symmetrical Lesions On The Toes
A 32-year-old Caucasian female presents to the office with swollen, sore, irritated, itchy toes of both feet and a symmetrical distribution on the tops of the toes.
She notes that the redness started four weeks ago. It was on the third toe initially but is now on other toes as well, according to the patient. There is no scaling or maceration in the interspaces, and no scaling on the rest of the foot.
When Multiple Lesions Fail To Resolve On The Lower Extremities
A 51-year-old man presents to the clinic with a chief complaint of multiple warts on both lower legs and feet. He reports that the lesions have been present for almost two years and appear to be increasing in numbers and size. The patient saw his family physician a year ago and was told to begin treating the warts with an over-the-counter wart medication containing a low percentage of salicylic acid. Since that time, he has randomly applied the wart cream with little success but did note that some of the lesions appeared to get smaller with treatment.
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When A Patient Presents With A Lower Extremity Rash
Podiatric physicians are often presented with dilemmas when diagnosing various dermatological conditions as these conditions may have overlapping symptoms. An accurate diagnosis is dependent on the patient history, physical examination and asking key questions to elicit telling answers from the patient. Accordingly, we have launched a new bimonthly column, “Dermatology Diagnosis,” that will test one’s skills in diagnosing dermatological conditions. Without further delay, let us consider the first case.
A 26-year-old male presents with a four-day h
Treating A Patient With Blisters And Papules On The Soles
A 29-year-old Caucasian female patient presented in consultation in the foot and ankle clinic regarding a six-week history of erythematous vesicles and papules on the soles. She reported intense pruritus. Her primary care physician told her that she had a case of “athlete’s feet” and that she should use an over-the-counter (OTC) antifungal cream. After two weeks of treatment with antifungal cream, the patient had no improvement.
The primary care physician then prescribed a first-generation cephalosporin but after two weeks, the condition beca
Gretna, Louisiana
CME Showcase
"Current Concepts In Healing Chronic Diabetic Foot Ulcerations"
A Complimentary On-Demand CE/CME Webcast This activity is supported by an educational grant from Advanced Biohealing. To access this Webcast, visit www.naccme.com/program/n-550/ |
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