Subject(s)
Antineoplastic Agents, Phytogenic/adverse effects , Arthropathy, Neurogenic/chemically induced , Vincristine/adverse effects , Aged , Antineoplastic Agents, Phytogenic/therapeutic use , Arthropathy, Neurogenic/diagnostic imaging , Arthropathy, Neurogenic/rehabilitation , Brain Neoplasms/drug therapy , Follow-Up Studies , Humans , Male , Oligodendroglioma/drug therapy , Orthotic Devices , Radiography , Tarsal Joints/diagnostic imaging , Tarsal Joints/physiopathology , Vincristine/therapeutic useABSTRACT
As the body's point of contact with the weight-bearing surface, the foot resists abrasive forces and is constantly bombarded with dermatologic insults. It is the site of a variety of local and systemic afflictions, some which even indicate a state of relative emergency. Paying careful attention to the consideration and exclusion of serious or systemic conditions, this article presents an algorithmic approach that is useful in a clinical setting.
Subject(s)
Foot Dermatoses/etiology , Foot Dermatoses/pathology , Skin/pathology , Foot Dermatoses/diagnosis , Foot Dermatoses/therapy , Humans , Keratosis/etiology , Keratosis/pathology , Purpura/etiology , Purpura/pathology , Skin Diseases, Vesiculobullous/etiology , Skin Diseases, Vesiculobullous/pathologyABSTRACT
Keratotic lesions are widely encountered in daily podiatric practice. These conditions may represent widespread systemic illness, local and occult neoplastic disease, disorders of a genetic nature, or acquired states. Algorithms facilitate the categorization and final diagnosis of the plantar keratoses. Patients may return to normal lifestyles when mechanical, weight-dispersive, pharmacologic, or surgical therapeutic methods are employed to decrease or shield the thickened corneum.
Subject(s)
Foot Diseases/diagnosis , Keratosis/diagnosis , Algorithms , Dermatologic Agents/therapeutic use , Disease , Foot Diseases/etiology , Foot Diseases/genetics , Foot Diseases/therapy , Humans , Keratosis/etiology , Keratosis/genetics , Keratosis/therapy , Neoplasms, Unknown Primary/diagnosis , Skin Neoplasms/diagnosisSubject(s)
Sesamoid Bones/abnormalities , Tibia/abnormalities , Female , Hallux Valgus/etiology , Humans , Middle AgedABSTRACT
Onychocryptosis is prevalent throughout the world and is most often the result of abortive self-attempts at curing the condition in its earliest stages. Its clinical presentation can often be confused with a number of osseous and soft-tissue abnormalities, some of which have great import to a patient's overall welfare. Treatment consists of local and systemic care, including nail avulsion. Recurrences are reduced when some form of effective matricectomy is used. Matricectomy techniques vary and must be selected on the basis of caregiver and patient preference.
Subject(s)
Nails, Ingrown/therapy , Diagnosis, Differential , Foot Dermatoses/diagnosis , Foot Dermatoses/physiopathology , Foot Dermatoses/surgery , Foot Dermatoses/therapy , Humans , Nail Diseases/diagnosis , Nails/surgery , Nails, Ingrown/diagnosis , Nails, Ingrown/physiopathology , Nails, Ingrown/surgery , RecurrenceABSTRACT
The Independent Studies Program was initiated at the New York College of Podiatric Medicine during the early months of 1987, and it has achieved continued success and acceptance from the administration, faculty, and students. The program emphasizes competence as the constant within a relatively time-independent framework. This paper presents, in a longitudinal fashion, the Independent Studies Program as a program model that combines criterion-referencing concepts, mastery-based learning combinations, and self-learning strategies. As a result, students have taken the initiative for diagnosing their learning needs, formulating their learning goals, identifying their human and material resources, and evaluating their learning outcomes.
Subject(s)
Curriculum , Podiatry/education , Schools, Medical , Education, Medical/methods , New York CityABSTRACT
Environmental medicine is a dynamic medical specialty that integrates medicine, mathematics, biology, and engineering. In this article an overview of how environmental agents affect the nail is presented. In addition, the three major routes of exposure (inhalation, dermal, and gastrointestinal) to environmental agents are discussed. Selected physical, chemical, and pharmaceutical agents and their effect on the nail structure are presented in the text.
Subject(s)
Nail Diseases/chemically induced , Nails, Malformed/chemically induced , Occupational Diseases/chemically induced , Humans , Pigmentation Disorders/chemically induced , Risk FactorsABSTRACT
As demonstrated in a recent survey, hallux limitus and rigidus are often the presenting complaints of our young population. Normal first metatarsophalangeal joint function depends not only on an intact articulation but also sesamoidal mobility and the capacity for the first metatarsal to plantarflex. Whereas acute or chronic microtrauma can impair articular surfaces, first metatarsal plantarflexion can be limited in cases of hypermobility, excessive metatarsal length, immobility of the first metatarsocuneiform joint, or metatarsus primus elevatus. Conservative therapy can be more effective in relieving the symptoms of hallux limitus or rigidus in young patients; however, surgical intervention is often necessary or desirable. The choice of surgical procedure should be based on the etiology of the deformity, as well as the degree of articular degeneration. It is the senior author's opinion that young patients with hallux limitus or rigidus are best served by the performance of cheilectomy with osteotomies designed to create an internal rocker bar mechanism. Procedures designed to shorten or plantarflex the first metatarsal should be reserved for obvious cases of excessive metatarsal length or elevation.
Subject(s)
Metatarsophalangeal Joint , Osteoarthritis/surgery , Toe Joint , Adult , Humans , Metatarsophalangeal Joint/surgery , Osteotomy , Toe Joint/surgerySubject(s)
Ankle Injuries , Tendon Injuries , Ankle/surgery , Chronic Disease , Humans , Male , Middle Aged , Rupture , Tendons/surgeryABSTRACT
Although dermatoses account for the vast majority of occupational disease, the role played by foot disorders is uncharted. Often, protective footgear has an etiologic rather than a therapeutic effect. The environmental, chemical, physical, and biologic causes of pedal skin disease in the workplace are described, with emphasis on the need for their recognition and control.
Subject(s)
Dermatitis, Occupational/etiology , Foot Dermatoses/etiology , Dermatitis, Contact/etiology , Dermatitis, Occupational/prevention & control , Diagnosis, Differential , Foot Dermatoses/prevention & control , Humans , Protective ClothingABSTRACT
Inhibition of fungal growth and accelerated keratolysis are the necessary ingredients of dermatophyte therapy. Often, the primary fungus is destroyed by secondary bacterial invasion or the body's immune response. Clinicians must recognize this possibility and, in such instances, treat the bacterial infection or immune response rather than the suspected dermatophyte.