Journal of the American Podiatric Medical Association

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Open AccessLetter

Tailor’s Bunion

by Thomas M. DeLauro

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 295-296; https://doi.org/10.7547/87507315-86-6-295 - 1 Jun 1996

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I read with great interest the article titled “Tailor’s Bunion: Is Fixation Necessary?” by Drs. Jane Pontious, Joel Brook, and Howard Hillstrom, in the February 1996 issue of the Journal [...] Full article

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Open AccessArticle

Rewards of Entering Podiatric Medicine and Attitudes Toward Older Adults

by Neale R. Chumbler, Jeffrey M. Robbins and Mark E. Poplawski

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 288-294; https://doi.org/10.7547/87507315-86-6-288 - 1 Jun 1996

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Abstract

This study examined the relationships between social and demographic characteristics (ie, gender, race, year in school, desired residency choice, and socioeconomic background), motivations for entering the profession of podiatric medicine (extrinsic and intrinsic rewards), and negative attitudes toward treating elderly patients. The study [...] Read more.

This study examined the relationships between social and demographic characteristics (ie, gender, race, year in school, desired residency choice, and socioeconomic background), motivations for entering the profession of podiatric medicine (extrinsic and intrinsic rewards), and negative attitudes toward treating elderly patients. The study used ordinary least squares multiple regression models to analyze data from a random, national sample of 448 podiatric medical students. In particular, the ordinary least squares models were developed to determine the independent effect of intrinsic and extrinsic rewards on negative attitudes toward treating elderly patients. Consistent with the study hypotheses, after adjusting for social and demographic characteristics, the study found extrinsic rewards to have strong positive relationships with negative attitudes toward treating elderly patients, and intrinsic rewards to have strong negative relationships with negative attitudes toward treating elderly patients. The authors discussed the implications of the findings for podiatric physicians and educators training podiatric medical students. Full article

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Open AccessCase Report

Mycobacterial Skeletal Infection of the Foot. A Case Report

by Bonnie J. Nicklas, Lawrence Osher and Debra K. Latta

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 280-287; https://doi.org/10.7547/87507315-86-6-280 - 1 Jun 1996

Cited by 2 | Viewed by 64

Abstract

Peripheral skeletal infections caused by Mycobacterium are widely reported in the literature. Unfamiliarity with this disease, or oversight caused by inexperience may result in failure to thoroughly investigate the presence of this organism. An unusual case of tuberculous osteomyelitis involving the second digit [...] Read more.

Peripheral skeletal infections caused by Mycobacterium are widely reported in the literature. Unfamiliarity with this disease, or oversight caused by inexperience may result in failure to thoroughly investigate the presence of this organism. An unusual case of tuberculous osteomyelitis involving the second digit of the foot is presented. The authors emphasize the importance of including cultures of acid-fast bacillus in the work-up of atypical infectious processes of the foot and ankle, and include Mycobacterium in their differential until it is positively ruled out. An in-depth radiologic review is included. Full article

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Open AccessArticle

“Stand Down for the Homeless”. Podiatric Screening of a Homeless Population in Cleveland

by Jeffrey M. Robbins, Lisa S. Roth and Marie-Claire Villanueva

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 275-279; https://doi.org/10.7547/87507315-86-6-275 - 1 Jun 1996

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Abstract

Health care for the homeless is a major public health concern. With the rise in antibiotic-resistant tuberculosis, the increase of human immunodeficiency virus (HIV) diseases, and other health risks, the medical community has begun to recognize the urgency of taking a proactive role [...] Read more.

Health care for the homeless is a major public health concern. With the rise in antibiotic-resistant tuberculosis, the increase of human immunodeficiency virus (HIV) diseases, and other health risks, the medical community has begun to recognize the urgency of taking a proactive role in providing care for this population. Lower extremity pathology can result in limb-threatening and, in some cases, life-threatening sequelae for homeless populations. This patient group has limited access to regular hygiene, appropriate shoes, and podiatric medical care. Participation in the "Stand Down for the Homeless" projects provided an opportunity to evaluate the podiatric needs of a homeless population and to project a response to those needs. The authors define and compare this homeless population with the national homeless population, compare the podiatric needs of this homeless populations versus the general population, and respond to those needs. Full article

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Open AccessCase Report

Rickets. A Study With Case Report

by Lawrence Osher, Laurence Lembach, Timothy S. Brooks and Lisa Failor

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 266-274; https://doi.org/10.7547/87507315-86-6-266 - 1 Jun 1996

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Abstract

Rickets is a pediatric disorder not commonly encountered by physicians in the US. Nevertheless, the podiatric physician should be aware that it persists and may exist in children who initially present with gait disturbances or failure to thrive. By using routine plain film [...] Read more.

Rickets is a pediatric disorder not commonly encountered by physicians in the US. Nevertheless, the podiatric physician should be aware that it persists and may exist in children who initially present with gait disturbances or failure to thrive. By using routine plain film radiography of the child's foot, the podiatric physician can screen one of the child's most rapid sites of secondary osseous growth, ie, the distal tibia. A brief overview of the rachitic and osteomalacic disorders is presented, followed by a discussion centered primarily on the plain film radiologic diagnosis of rickets. Full article

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Open AccessReview

Practical Classification for the Use of Nonsteroidal Anti-inflammatory Drugs

by Steven L. Friedman

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 263-265; https://doi.org/10.7547/87507315-86-6-263 - 1 Jun 1996

Cited by 1 | Viewed by 52

Abstract

The podiatric physician is faced with a multitude of nonsteroidal anti-inflammatory drugs from which to choose. Podiatric physicians are overwhelmed with advertisements in the literature, outlining the safety and efficacy of one or another of these medications. This article will categorize the nonsteroidal [...] Read more.

The podiatric physician is faced with a multitude of nonsteroidal anti-inflammatory drugs from which to choose. Podiatric physicians are overwhelmed with advertisements in the literature, outlining the safety and efficacy of one or another of these medications. This article will categorize the nonsteroidal anti-inflammatory drugs to aid in their selection. Full article

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Open AccessCase Report

Kaposi’s Sarcoma Versus Bacillary Angiomatosis

by Bryan D. Caldwell, Donald Kushner and Brent Young

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 260-262; https://doi.org/10.7547/87507315-86-6-260 - 1 Jun 1996

Cited by 6 | Viewed by 117

Abstract

Persons with acquired immune deficiency syndrome (AIDS) are subject to a host of pathologic entities secondary to a depressed immune system. Kaposi's sarcoma frequently presents in this immunocompromised population and, therefore, diagnosis seems clinically straightforward. However, because of the prevalence of a strikingly [...] Read more.

Persons with acquired immune deficiency syndrome (AIDS) are subject to a host of pathologic entities secondary to a depressed immune system. Kaposi's sarcoma frequently presents in this immunocompromised population and, therefore, diagnosis seems clinically straightforward. However, because of the prevalence of a strikingly similar infectious disease known as bacillary angiomatosis, skin biopsy of one or more lesions is crucial. Full article

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Open AccessCase Report

Hand-foot-and-mouth Disease

by Donald Kushner and Bryan D. Caldwell

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 257-259; https://doi.org/10.7547/87507315-86-6-257 - 1 Jun 1996

Cited by 18 | Viewed by 93

Abstract

Hand-foot-and-mouth disease is a highly contagious disease most often seen in children during the summer. It is caused most commonly by the virus coxsackie A16, but other enteroviruses have been implicated. It presents with low grade fever, and a vesicular eruption on the [...] Read more.

Hand-foot-and-mouth disease is a highly contagious disease most often seen in children during the summer. It is caused most commonly by the virus coxsackie A16, but other enteroviruses have been implicated. It presents with low grade fever, and a vesicular eruption on the hands, feet, and mouth. More serious manifestations are seen less commonly. Diagnosis is most often clinical and treatment is symptomatic in nature. The infection in a male adult is presented. Full article

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Open AccessCase Report

Use of the Cam Walker® in Treating Diabetic Ulcers. A Case Report

by Gary Ritz, William D. Rowland and Joy W. Rowland

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 253-256; https://doi.org/10.7547/87507315-86-6-253 - 1 Jun 1996

Cited by 5 | Viewed by 60

Abstract

This case study shows how a Cam Walker®1 when equipped with an arch filler can be another tool the physician may use to help heal diabetic ulcerations. Even after other methods of conservative care have failed, the Cam Walker with an arch filler [...] Read more.

This case study shows how a Cam Walker®1 when equipped with an arch filler can be another tool the physician may use to help heal diabetic ulcerations. Even after other methods of conservative care have failed, the Cam Walker with an arch filler has been shown to gradually decrease and heal diabetic ulcerations on the plantar aspect of the foot. It accomplishes this by decreasing the pressure on the ulcerative areas and by decreasing the velocity with which the foot strikes the ground. Full article

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Open AccessCase Report

Microembolization From Atheroembolic Disease or Aneurysm. A Case Study

by Bryan D. Caldwell and Veronica S. Marrochello

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 249-252; https://doi.org/10.7547/87507315-86-6-249 - 1 Jun 1996

Cited by 5 | Viewed by 60

Abstract

Cyanosis of the digits may have several etiologies ranging from trauma to connective tissue disease; however, the most common cause of the so-called blue toe syndrome is atheroembolic disease or aneurysm and is frequently misdiagnosed on initial presentation. Pedal pulses are often palpable [...] Read more.

Cyanosis of the digits may have several etiologies ranging from trauma to connective tissue disease; however, the most common cause of the so-called blue toe syndrome is atheroembolic disease or aneurysm and is frequently misdiagnosed on initial presentation. Pedal pulses are often palpable which may misdirect the physician from a diagnosis of vascular pathology. Furthermore, the proximal source of embolic shower may be far from the sight of symptoms. Noninvasive vascular testing, peripheral angiography, abdominal and popliteal ultrasonography, and echocardiography are all techniques that may be beneficial in discovering the origin of emboli. Atheroembolisms and aneurysms can be limb-threatening or life-threatening and hence early diagnosis is imperative. Full article

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Open AccessCase Report

Genetics of Split Hand and Split Foot. A Case Study

by Bryan D. Caldwell

J. Am. Podiatr. Med. Assoc. 1996, 86(6), 244-248; https://doi.org/10.7547/87507315-86-6-244 - 1 Jun 1996

Cited by 3 | Viewed by 89

Abstract

Split hand and split foot is an autosomal dominant disorder that displays several genetic phenomena. These include variable expressivity, reduced penetrance, and segregation distortion. Although not fully understood at the molecular level, all are important in determining transmission of the gene thought to [...] Read more.

Split hand and split foot is an autosomal dominant disorder that displays several genetic phenomena. These include variable expressivity, reduced penetrance, and segregation distortion. Although not fully understood at the molecular level, all are important in determining transmission of the gene thought to be mapped to the long arm of chromosome 7 (7q21.3-q22.1). These phenomena, therefore, have significant implications for inheritance of split hand and split foot and for proper referral for genetic counseling. Full article

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J. Am. Podiatr. Med. Assoc., Volume 86, Issue 6 (06 1996) – 11 articles , Pages 244-296

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