6-Clinical Podiatry

Question 1

for a nail avulsion, what can be done for anesthesia if the patient is allergic to all local anestehtics?

Answer 1

saline block (pressure induced block) 
pressure cuff
benadryl block (blocks histamine release)

Question 2

How does Lamisil work?

Answer 2

inhibits ergosterol synthesis

Question 3

what are some iatrogenic causes of hallux varus?

Answer 3

overcorrection of IMA
staking the head (excessive resection of medial eminence)
fibular sesamoidectomy 
overaggressive capsulorrhapy 
bandating too far into varus

Question 4

what are some congenital causes of hallux varus?

Answer 4

clubfoot

metatarsus adductus

Question 5

what are some traumatic causes of hallux varus?

Answer 5

MPJ dislocation

fracture

Question 6

what is “staking of the head”?

Answer 6

excessive resection of the 1st met head with cutting into the sagittal groove that may lead to hallux varus

Question 7

what radiographic angles are used to evaluate a haglund’s deformity?

Answer 7

parallel pitch lines
fowler and philip
total angle

Question 8

What is the Sullivan sign?

Answer 8

separation of digits caused by a mass within the interspace

Question 9

what are the stages of Raynauds phenomenon?

Answer 9

white –> blue –> red
pallor- spasm of digital arteries
cyanosis- deoxygenation of blood pools
rubor- hyperemia

Question 10

for a segmental pressure, a drop in how many mmHg indicates diseased vessel above?

Answer 10

drop btwn segments >30mmHg indicate disease in vessel above

Question 11

what is the most common type of skin cancer?

Answer 11

basal cell carcinoma- found on sun-exposed parts of the body

Question 12

what skin cancer may appear cauliflower like?

Answer 12

squamous cell CA- found on sun-exposed parts of the body

Question 13

what is teh most common type of melanoma?

Answer 13

superficial spreading melanoma- found on any part of teh body

Question 14

what is the most malignant type of melanoma?

Answer 14

nodular melanoma

Question 15

what is the most benign type of melanoma?

Answer 15

lentigo melanoma- typically found on back, arms, neck, scalp

Question 16

what derm condition is found on the palms, soles, and nail beds?

Answer 16

acral lentiginous melanoma

Question 17

what is a hutchinson sign?

Answer 17

pigment changes in the eponchium seen with subungual melanoma

Question 18

what is the most common vascular proliferation?

Answer 18

hemangioma

Question 19

what conditions may be associated with plantar fibromatosis?

Answer 19

Ledderhose disease
dupuytren contracture
peyronie disease

Question 20

what is another name for vertical talus?

Answer 20

congenital convex pes valgus

Question 21

what are radiographic findings of congenital convex pes valgus (vertical talus)?

Answer 21

calcaneus in equinus, plantarflexed talus, dorsally dislocated navicular, increased talo-calc angle

Question 22

what is the age of fusion for talocalcaneal coalition?

Answer 22

12-16 years

Question 23

what is the age of fusion for talonavicular coalition?

Answer 23

3-5 years

Question 24

what is teh age of fusion for calcaneonavicular coalition?

Answer 24

8-12 years

Question 25

what are the 3 components of clubfoot?

Answer 25

FF adductus
RF varus
ankle equinus