Podiatry Flashcards
What is the first line treatment for onychomycosis?
- terbinafine (lamisil)
What is the appropriate way to cut your toe nails?
- straight across
What is the acute treatment for gout?
- injection cortisone into gout site
* if you can’t give injection then indomethacin PO is good alternative
T/F: Salicylic acid is NOT indicated for treatment of corn and calluses.
- true
What is the treatment regimen for plantar fasciitis?
- cortisone injection + plantar strap
- measure for orthotics (if plantar strap helped)
How is a broken toe treated?
- buddy split with adjacent toe
Reynaud’s syndrome can increase the risk of what foot condition?
- Chilblains
How long does it take for stress fractures to heal?
6-8 weeks
What is the treatment for refractory ingrown toenails?
- matrixectomy
What is the main difference between corns and calluses?
- corns on your toes
- calluses on the bottom of your feet
What are chilblains?
skin sores or bumps that occur after exposure to very cold temperatures
What is the conservative treatment option for plantar warts?
- Duofilm (topical salicylate)
For isolated lesions = mediplast
What is the medical treatment for warts in the pediatric population?
- Cimetidine (Tagamet)
What are the 2 methods of treating morton’s neuroma?
- cortisone injection
- kill the nerve
What antibiotic should be prescribed for puncture wounds?
- Keflex
The majority of gout cases occurs in what gender?
- males
T/F: There is no conservative method of treating a bunion.
true
How is chilblains treated?
- silvadene
What is a bunion?
- malalignment of the first MTP joint.
What is the chronic medical treatment for gout?
- allopurinol
What are the 2 ways to distinguish a wart and a callus?
- wart = pinpoint bleeding, lateral pressure causes pain
- callus = no bleeding, direct pressure causes pain
What are the 3 mechanical etiologies of plantar fasciitis?
- excessive pronation
- extreme foot types (pes planus, cavus)
- anything that causes extra strain on the longitudinal arch
What is the most common pathogen of puncture wound?
- pseudomonas
A patient presents with pain around the 3/4 metatarsal head. She notes mild relief upon removal of shoes. On physical exam you notice a positive Mulder’s sign. What diagnoses are you concerned about?
- Morton’s neuroma
What are the 2 primary systemic etiologies of plantar fasciitis?
- arthritis (OA, RA, gout)
- diseases (Venereal, Reiter’s, etc.)
What is the definitive treatment for an ingrown toenail?
- removal of the toe nail
How long does it take for stress fractures to show up on XR?
2-4 weeks
What is the only reason we get corns and calluses?
excessive pressure
What is the big adverse effect of terbinafine (lamisil)?
- liver toxicity
This is defined as a nail fungus causing thickened, brittle, crumbly, or ragged nails.
onychomycosis
What is the cause of gout
- consumption of foods high in purines leads to an increase in uric acid in the blood
If your patient has chronic gout attacks they should be referred to what specialist?
- rheumatology
What is a hallmark sign of plantar fasciitis?
- feeling like stepping on glass in the morning when they wake up
What physical exam test can be done to diagnose Morton’s Neuroma?
Mulder’s sign
- squeeze foot on either side and palpate over lump
