PubMed Health⌕ Search

Biomedical subjects

M D Lenet

Publications and source records attributed to M D Lenet.

9 recordsLinked to original sources

The entry level residency curriculum. Proposal for discussion.

The author discusses the curriculum proposed for the PGY-1 residency program. The author briefly describes the activities resulting from the March 1992 residency forum that have led to a national survey of residency program directors to ascertain opinions about the critical elements of the PGY-1 residency. The elements proposed as part of the PGY-1 curriculum, including specific training experiences for 13 clinical rotations, are presented. Results of the survey will be used as a basis for discussion at a second residency forum to be held in December 1992.

Curriculum↗

Gonococcal arthritis case report.

In the case reported, the diagnosis of gonococcal arthritis unfolded over the course of 1 week and was not fully conclusive until presumptive therapy was initiated. Although the clinical, microbiologic, and immunologic characteristics of gonococcal arthritis can be differentiated from other types of bacterial arthritides, not all textbook symptoms are present at one time in one particular case. There also are subtle signs that are involved. In this case study, there was little definitive evidence that stood out to confirm the diagnosis. It was the interdependence of a complete history, serologic and radiographic studies, clinical presentation, and demographic considerations that led to an accurate diagnosis and timely treatment of gonococcal arthritis.

Adult↗

Cutaneous horns: review of literature and case report.

Cutaneous horns, although rarely seen in the podiatric practice, must be considered in one's differential diagnosis when treating keratinous skin lesions. These lesions have been described as both malignant and premalignant, and an adequate amount of tissue at the base of the lesion must be obtained for proper biopsy. The authors discuss a case in which an unusual surgical technique is used in the treatment of a cutaneous horn.

Aged↗

Surgical treatment of Freiberg's infraction with the use of total joint replacement arthroplasty.

Freiberg's infraction is an osteochondrosis of the second metatarsal head, although it may be seen less often in the other metatarsals. It usually occurs in the second decade of life and is more commonly seen in females. The etiology is generally of a traumatic nature and symptoms include painful, limited range of motion of the joint. If untreated, destructive joint changes may lead to a painful degenerative arthritis requiring surgical intervention. The authors discuss joint replacement with a Swanson Silastic flexible hinged toe implant.

Female↗