Case Study Assessment At A Birmingham Podiatry Clinic

Case study assessment. A 47-year-old female patient attends a Birmingham podiatry clinic with callus and heloma durum presenting on the plantar surface of the 1st MTPJ of the left foot. The patient is generally fit and well, and requires routine treatment. To enable the podiatrist to treat callus and corn, they must first understand the biological process that leads to the pathology. Callus, or hyperkeratosis, a diffuse area of relatively even thickness (Lorimer et al.1997), is formed from hypertrophy of the superficial layer of the epidermis, the stratum corneum, and reduced desquamation rate causing the skin to increase layers and harden (Fig 1). Mechanical stresses on the skin, for example the compression and friction from poorly†¦show more content†¦Fluid building up in the tissues caused by an inflammation response, triggered by the repeated stresses on the tissues, can lead to maceration of the deeper tissues, resulting in wounds and ulcers. Especially in patients with limited healing due to circulation conditions and diabetes, or those suffering peripheral neuropathy (Fig 3) Assessments A number of assessments are carried out before diagnosing and treating the patient. Vascular Assessment Test carried out Right foot Left foot Pulses palpable Yes Yes Doppler pulses Dorsalis Pedis Triphasic Triphasic Posterior Tibial Triphasic Triphasic Cappillary refill time 2 seconds 2 seconds Skin Assessment Healthy Healthy Nail Assessment Healthy Healthy Temperature gradient Warm to cool Warm to cool Hair present Yes on legs and all toes Yes on legs and all toes Other skin signs and symptoms: Oedema (Non pitting) No No Oedema (pitting) No No Intermittent Claudication No No Rest pain No No Neurological Assessment Test carriedShow MoreRelatedEvaluation Of A Person With An Acute Diabetic Foot Problem5070 Words   |  21 Pagesdetail clinical presentation and discuss assessment, diagnosis, classification and treatment choices. Assess the need for medical and/or pharmacological management, justify your decisions using current guidelines, recommendations and literature. Further consider the role of the multidisciplinary foot team and discuss referral at the most appropriate stage of each intervention. Word count: 3920 Introduction 3 Methodology 3 The case 3 Background 5 Assessment and Diagnosis 6 Osteomyelitis 9 ClassificationRead MorePodiatry Rhuematoid Arthritis8124 Words   |  33 Pagescomplex diseases with inflammatory components. Other physiological manifestations Immunoreaction PG peptides Hazleburg 2009 Immunoreaction against PG peptides is key to human arthritis development. Rheumatoid factors Klareskog 2008 Various studies have found raised amounts of rheumatoid factor to be consistently linked with RA development Higher levels of anti-EBV antibodies Plenge et al 2005 EBV, a widespread virus, is highly recognized by antibodies but never eliminated. This may cause