Comprehensive Foot and Ankle care Dr. Kenneth D. Kemp Kenneth Kemp.pdf · Arterial/ischemic ulcers...
Transcript of Comprehensive Foot and Ankle care Dr. Kenneth D. Kemp Kenneth Kemp.pdf · Arterial/ischemic ulcers...
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Comprehensive Foot and Ankle care
Dr. Kenneth D. Kemp
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Podiatry overview
Education
Common conditions treated Dermatology
Nail disorders
Wound care
Biomechanics/Sports medicine
Trauma
Surgical
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There are 4 medical professions in the US where physicians can independently diagnose and treat conditions
Allopathic (M.D.) & Osteopathic Medicine (D.O.)
Podiatric Medicine (D.P.M.)
Dental Medicine (D.D.S, D.M.D.)
Optometry (O.D.)
Podiatry is a branch of medicine devoted to the study and treatment of lower extremity disorders
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4 years podiatric medical school 1st year mimics M.D. program
2-4th year is more focused on the lower extremity
3-4 year surgical residency
Fellowship Sub-specialty Sports Medicine
Podopediatrics
Dermatology
Diabetic foot & wound care
Forensic podiatry
Reconstructive surgery
Rheumatology/Gerontology
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Dermatitis
Also called eczema
Inflammation of the skin characterized by itchy erythematous crusty patches
Diagnosis: based on history, clinical exam and a skin biopsy (in difficult cases)
Treatment: Corticosteroids, topical emollients, antihistamines, immunosuppressants, ultraviolet light therapy
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Tinea pedis
Fungal infection of the foot
Characterized by an itchy scaly rash
Treatment: Antifungal cream & shoe spray
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Verrucae plantaris
Commonly called plantar wart
Caused by the human papillomavirus
Small lesions with a cauliflower like appearance
and central black petechiae
Treatment: Salicylic acid, cryosurgery, surgical
excision, laser therapy, immunotherapy
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Melanoma
A form of skin cancer
ABCDE signs & symptoms
Assymetry
Border uneven
Color (multiple)
Diameter (> 6mm)
Enlarging
Should be referred to a dermatologist, biopsied and treated accordingly
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Bacterial endocarditis
Inflammation of the endocardium (inner tissue of
the heart) caused by infection
Symptoms: Splinter hemmorhages, Osler’s nodes,
Janeway lesions, Roth spots, fever & fatigue
Diagnosis: Confirmed via echocardiogram
Treatment: High-dose antibiotics, surgery
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Beau’s Lines Yellow nail syndrome Terry’s nails(MI, trauma, Raynaud’s) (Respiratory probs) (Hepatic failure, DM, CHF)
Subungual melanoma Half & Half nails
(Cancer) (Renal failure)
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Arterial/ischemic ulcers Caused by lack of blood flow to the capillary beds in the LE
Pressure damages the skin creating an open wound that’s difficult to close due to the poor perfusion of the tissues
Punched out appearance, painful, nonpalpable pulses
Treatment: Revascularization, HBOT, Skin graft
Venous ulcers Caused by increased pressure in the venous system of the LE
Mostly occur along the distal medial leg. May be painful.
Venous valves that prevent backflow of blood don’t function properly
Treatment: local wound care and compression
Decubitus/pressure ulcers Usually occur over a bony prominence and result from
repeated pressure, shear and/or friction applied to the skin
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Pressure ulcer
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Gait Analysis
Heel pain/spurs
Orthotics
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Fractures
Sprains
Foreign bodies
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Bunions
Hammertoes
Amputations
Nerve decompression
Tendon repair
Fasciotomy
Neuroma excision
Etc.
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A medical subspecialty focusing on ALL foot
and ankle abnormalities
Offering a wide range of services
Thank you!