Comprehensive Foot and Ankle care Dr. Kenneth D. Kemp Kenneth Kemp.pdf · Arterial/ischemic ulcers...

Comprehensive Foot and Ankle care

Dr. Kenneth D. Kemp

Podiatry overview

Education

Common conditions treated Dermatology

Nail disorders

Wound care

Biomechanics/Sports medicine

Trauma

Surgical

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

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

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

Tinea pedis

Fungal infection of the foot

Characterized by an itchy scaly rash

Treatment: Antifungal cream & shoe spray

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

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

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

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)

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

Pressure ulcer

Gait Analysis

Heel pain/spurs

Orthotics

Fractures

Sprains

Foreign bodies

Bunions

Hammertoes

Amputations

Nerve decompression

Tendon repair

Fasciotomy

Neuroma excision

Etc.

A medical subspecialty focusing on ALL foot

and ankle abnormalities

Offering a wide range of services

Thank you!