Clinics in podiatric medicine and surgery
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Clin Podiatr Med Surg · Jan 1997
ReviewUsefulness of preoperative testing in pediatric podiatric surgery. Does it influence clinical decisions?
This article discusses the changing approach to preoperative laboratory testing in healthy children undergoing foot and ankle surgery from the economic as well as the medico-legal perspectives. The author then reviews the laboratory findings for 203 children, discusses the number and types of abnormalities encountered, and defines their impact on decision making in the perioperative period. Based on these experiences, recommendations on appropriate testing for these patients are made.
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Clin Podiatr Med Surg · Jan 1997
ReviewSedation, analgesia, and anesthesia issues in the pediatric patient.
Pediatric and adolescent patients facing analgesia, anesthesia, and surgical procedures require different considerations than adults do. The preoperative, intraoperative, and postoperative time periods are discussed. Analgesia considerations outside the operating room are covered. The practicing podiatric physician will be able to assess better the physical needs of the pediatric patient by understanding and incorporating their emotional needs.
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Digital trauma is a common, but often underappreciated, entity in podiatric practice. This article outlines the pathomechanics, diagnosis, and treatment of digital fractures and dislocations as well as injuries to the toenail and nailbed.
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Changes in the color, shape, or texture of the nails can be indicative of a wide range of disease states. Podiatrists routinely have the opportunity to observe and evaluate this aspect of pedal anatomy. This article provides a review of the relevant anatomy, an approach to the history and examination, and a description of the various nail changes as they relate to specific disease entities.
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A variety of individual nail dystrophies that are not categorized easily in other articles are reviewed. Onychoatrophia, anonychia, onychorrhexis, leukonychia, Beau's lines, onycholysis, onychomadesis, onychoschizia, haplonychia, longitudinal melanonychia, and ventral pterygium are included and pictured clinically. Their clinical description, etiology, associated conditions, differential diagnoses, and treatments are discussed and tabulated.