journal

What Can I Do With a Patient With Diabetes and Critically Impaired Limb Perfusion Who Cannot Be Revascularized?

October 17, 2014

A patient with limb-threatening diabetic foot syndrome in whom relevant peripheral arterial occlusive disease is proven should receive arterial revascularization as soon as possible to avoid major amputation.

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Lipedema: A Review of the Literature

October 17, 2014

Lipedema is a disorder of adipose tissue that primarily affects females and is often misdiagnosed as obesity or lymphedema. Relatively few studies have defined the precise pathogenesis, epidemiology, and management strategies for this disorder, yet the need to successfully identify this disorder as a unique entity has important implications for proper treatment.

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Female physicians more persuasive, study suggests

October 14, 2014

Patients are more likely to agree on the appropriateness of their physicians’ advice on nutrition, exercise or weight loss if their doctors are female, according to a study published in Family Practice. The study of 585 patients and 27 general-practice doctors in three regions in France found that men with male doctors were nearly four times more likely than men with female doctors to disagree with them about nutrition; men with male doctors were twice as likely to disagree about exercise; and female patients agreed with male doctors about weight-loss advice only 85.5 percent of the time, compared to 93 percent of the time with female doctors.

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When A Patient Presents With A Dry Crust On The Shin

September 25, 2014

Issue Number:  Volume 27 – Issue 10 – October 2014 Author(s):  Myron A. Bodman, DPM An 82-year-old Caucasian female and retired small business owner presented for ongoing care of multiple pressure keratoses overlying arthritic, contracted toe joints on both feet. She had managed the pressure keratoses with periodic paring, buttress crest padding, digital strapping, felt toe regulators and extra-depth shoes

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Chronic Ulceration and Sinus Formation due to Foreign Body: An Often-Forgotten Problem

September 25, 2014

Foreign bodies like residues of suture or mesh may lead to a foreign body reaction, cavity formation and continuous secretion and perhaps ulceration. We present a more than 9 years long medical record of a 49 year old man after a simple surgical procedure

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Conservative Surgery of Diabetic Forefoot Osteomyelitis: How Can I Operate on This Patient Without Amputation?

September 25, 2014

Surgery is necessary in many cases of diabetic foot osteomyelitis.

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How to Close a Limb Fasciotomy Wound: An Overview of Current Techniques

September 25, 2014

Early fasciotomy is the gold standard of prevention and treatment of compartment syndrome; however, the resulting wounds may significantly increase morbidity. To address the challenge of timely and safe closure of fasciotomy wounds, numerous methods have been described. A thorough search of medical databases PubMed/MEDLINE, ScienceDirect, SCOPUS, EMBASE, and Google Scholar was conducted for articles published between 1976 and 2013 using the search terms “limb fasciotomy wound closure,” “open wound management,” “skin stretching,” and “fasciotomy complications.” A total of 49 articles on technique descriptions, case reports of 2 or more patients, and of complications and comparative studies regarding limb fasciotomy wound closure were included.

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Saving the Limb in Diabetic Patients With Ischemic Foot Lesions Complicated by Acute Infection

September 25, 2014

Ischemia and infection are the most important factors affecting the prognosis of foot ulcerations in diabetic patients. To improve the outcome of these patients, it is necessary to aggressively treat 2 important pathologies—namely, occlusive arterial disease affecting the tibial and femoral arteries and infection of the ischemic diabetic foot. Each of these 2 conditions may lead to major limb amputation, and the presence of both critical limb ischemia (CLI) and acute deep infection is a major risk factor for lower-extremity amputation.

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Wound Documentation by Using 3G Mobile as Acquisition Terminal: An Appropriate Proposal for Community Wound Care

September 25, 2014

The increasing numbers of cases of wound disease are now posing a big challenge in China.

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