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32 Cards in this Set
- Front
- Back
What are some risk factors for minor foot disorders and warts?
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Congenital malformations, rapid growth in adolescent, work, athletic activity
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What are the cause of corn and where are they located?
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Hyperkeratosis on the knuckles of your toes. Friction from tight fitting shoes. The hyperkeratosis lesions has a central core
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What are the different type of corns?
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Hard- shiny, dry and polished with a central core
Soft- Whitish thickening of skin with a rubbery texture |
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Callus
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yellowish lesions
with irregular margins and diffuse thickening of the skin |
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How do you prevent or treat corns or callus's
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You prevent this by eliminating pressure and friction and you treat this with removing it or preventing it
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NonRX treatment of corns and callus?
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Soak feet daily in warm water for 5 minutes
• Mild debridement • Cushion insoles • Silicone sleeves with mineral oil (corns) • Metatarsal pads (calluses) |
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Rx treatment of corns and callus
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Use salicylic acid 0.5-40% plaster vehicles/collodion-like vehicles.
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When to refer for corns and callus
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• Diabetes, peripheral circulatory disease, rheumatoid
arthritis • Extensive, painful, or debilitating corns/calluses • Lesions hemorrhaging or oozing purulent material • Proper but unsuccessful self‐treatment • Anatomic defects or fault in body weight distribution • Impairment causing difficulty in following product instructions |
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What kind of infection is plantar warts?
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Viral Infection
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Etiology to plantar warts? How is it transmitted?
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HPV. Person to person or Indirect exposure to fomites
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What are the exclusions to self treatment of warts?
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• Face, nail, anus/genitalia involvement
• Painful or extensive wart • Chronic diseases or immunocompromised |
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NonRX treatment of warts
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-wash hands
-don't poke -don't walk barefoot |
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RX treatment of warts
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SA acid: plaster vehicles, etc
cryotherapy |
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SA acid therapy for warts dosing
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Vehicles:
1. Plaster (12‐40%): apply every 48 hours 2. Collodion (5‐17%): apply every 12 hours 3. Karaya gum‐glycol plaster: apply QHS, leave for 8 hours and remove in the morning |
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When do you expect improvement of SA?
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1-2 weeks. Wart should be removed in 6-12 weeks
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Cryotherapy dosage
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Place applicator tip on wart and freeze tissue for 20 seconds. A blister will form under the wart and will fall off in ~10 days
– May repeat treatment every 10 days up to 3x |
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Occlusion Therapy dosage
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Apply duct tape for 6 days, then take it off and soack in warm water for 5 minutes and debride
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When do you refer for occlusion therapy?
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If therapy doesn't work within 2 months
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When should you follow up for treatment of warts?
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After every 6 weeks
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In general, when should you refer for warts?
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Diabetes, peripheral vascular disease, or poor blood
circulation • Painful or extensive warts at one body site • Children < 4 years old • Physical or mental impairments causing difficulty in following product instructions • Unsuccessful but proper self‐medication with: – Salicylic acid after 12 weeks – Cyrotherapy after 3 attempts |
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NonRX treatment for bunions?
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Wear proper footwear, ice, pads and cushions
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Rx treatment for bunions?
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NSAIDS
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How long can bunion pads be worn?
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3 months
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Within how many weeks of treatment should you follow up for bunions?
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2-3 weeks
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Etiology of heel spurs
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calcium deposits are formed where the plantar fascia is attached to the heel
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Etiology of plantar fasciitis
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• Inflammation of the connective tissue that runs
from the heel bone to the ball of the foot |
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NonRx treatment of plantar fasciitis
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Select proper footwear +/‐shoe inserts,
partial insoles, heel cup/cushions • Stretching the foot • Compression stockings • Weight reduction • Apply ice |
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Rx Treatment of of plantar fasciitis or heel spurs
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• Short‐term NSAIDs
• Epsom salt baths |
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When should you follow up for heel spurs?
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Follow up after 1 week
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When should you refer for heel spurs?
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after 1 week if symptoms persist
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When should you follow up for ingrown toe-nails?
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follow up after 3-4 weeks
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When to refer for ingrown toe-nails?
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If there is still pain after follow-up
patients with peripheral circulatory disease, diabetes, and arthritis |