By Alethea VM Foster BA(Hons) PGCE DPodM MChS SRCh, Michael E. Edmonds MD FRCP
This identify is directed basically in the direction of well-being care pros outdoor of the U.S.. Lavishly illustrated with over 500 really good color photos, useful and broad in its assurance, it provides a transparent pictorial account of the entire significant foot and ankle shows. The accompanying textual content highlights the salient diagnostic positive factors and healing procedures. The logical constitution and lots of priceless suggestions in the course of the color Atlas make it a hugely obtainable, beautiful and uniquely correct better half to either perform and research.
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Extra info for A Colour Atlas of Foot and Ankle Disorders
Note the necrotic areas in the wound bed and the surrounding cellulitis. There was a foul odour that drove the patient to seek help, and the debridings obtained at surgery grew Bacteroides, Pseudomonas aeruginosa and Staphylococcus aureus. Severe infections are frequently polymicrobial. 30 Partial nail avulsion complicated by infection. Note the greyish, macerated wound bed; this may be hard to differentiate from greyness and maceration caused by topical application of phenol to ablate the nail bed.
54 Interdigital erosion of tinea pedis. The nail of the 1st toe has onychomycosis. 55 Plectophomella chromomycosis. This patient was a 52-year-old, AfroCaribbean patient who was born and raised in Jamaica and came to the UK at the age of 30. The last time he had revisited Jamaica (or any tropical country) had been 17 years previous to this photograph being taken. He had developed leg ulcers 6 months previously, which were assumed to be varicose and treated by the community nurses. When he was referred to the Foot Clinic we also noted the presence of macules on his feet and legs, some of which had central sinuses, which were draining dark oily ﬂuid.
This patient presented with agonizing pain, redness and swelling of the 1st toe. She was prescribed non-steroidal anti-inﬂammatory therapy until the acute episode had resolved and allopurinol was then prescribed to prevent relapse. 23 Gouty tophus on dorsum of 2nd toe. Sometimes these lesions ulcerate and exude whitish material. If the crystalline deposits within the tophus are carefully evacuated the area will usually heal. 24 Several small gouty tophi are visible on this toe. CHAPTER 1 14 Introduction Two Infection is a great destroyer of the foot.