By the time of graduation, students at the Temple University School of Podiatric Medicine will demonstrate competence in the following performance domains: • Determining whether lower extremity symptoms are the result of a localized disease process or are a manifestation of a systemic disease process. • Formulating appropriate differential diagnoses that include systemic disease processes that affect the lower extremities (e.g. ankle swelling secondary to congestive heart failure or renal disease). • Diagnosing common systemic disease processes that affect the lower extremities (e.g. Gout /Diabetes Mellitus). • Evaluating a patient’s general medical status, including medications and possible drug interactions, when managing a patient’s lower extremity problem. • Differentiating between localized and systemic disease processes as the basis for musculoskeletal symptoms in the lower extremities. • Diagnosing systemic musculoskeletal disease processes that commonly affect the lower extremities (e.g. osteoarthritis, gout). • Diagnosing common musculoskeletal disorders originating within the lower extremity. • Treating common musculoskeletal disorders originating within the lower extremity (e.g. tarsal coalition). • Diagnosing uncommon musculoskeletal disorders originating within the lower extremity (e.g. osteoid osteoma). • Treating/managing uncommon musculoskeletal disorders originating within the lower extremity. • Diagnosing musculoskeletal disorders of the knee that cause symptoms in the legs and/or feet (e.g. nerve entrapment, shin splints, leg length discrepancy, tibia varum or valgum). • Recognizing appropriate treatment of musculoskeletal disorders of the knee that cause symptoms in the legs and/or feet. • Diagnosing musculoskeletal disorders of the hip that affect the evaluation or management of a foot and/or leg problem. (e.g. femoral rotation, anteversion of the hip, dislocated hip in a child). • Understanding the treatment and management of musculoskeletal disorders of the hip that affect the leg and/or foot. (e.g. femoral rotation causing in-toe gait). • Diagnosing and treating nerve disorders originating in the foot (e.g. tarsal tunnel syndrome, Morton’s neuroma, medial & lateral plantar nerve involvement). • Diagnosing nerve disorders of the leg (e.g. nerve entrapments, Charcot Marie Tooth disease). • Treating nerve disorders of the legs and feet (e.g. peroneal nerve entrapment, tarsal tunnel syndrome, Morton’s neuroma). • Diagnosing nerve disorders of the thigh (e.g. Meralgia paresthetica). • Recognizing appropriate treatment of nerve disorders of the thigh. • Diagnosing nerve root lesions (radiculopathies) affecting the lower extremities. • Identifying upper motor neuron lesions affecting the lower extremities (e.g. cerebrovascular accident, cerebral palsy). • Identifying disorders of the extrapyramidal tracts manifesting in the lower extremities (e.g. Parkinson’s disease). • Identifying lower motor neuron disorders affecting the lower extremities (e.g. polio). • Identifying cerebella disorders manifesting in the lower extremities. • Determining the anatomical system (e.g. arterial, venous or lymphatic) responsible for manifestations of peripheral vascular disorders. • Diagnosing the presence of peripheral arterial disease of the lower extremities. • Diagnosing arterial disorders of the aorta or iliac arteries causing symptoms in the lower extremities (e.g. Blue toes syndrome). • Diagnosing arterial disorders of the leg and thigh causing symptoms in the lower extremities (e.g. superficial femoral or popliteal artery occlusion). • Diagnosing arterial disorders intrinsic to the foot (e.g. occlusion of the dorsalis pedis or posterior tibial arteries). • Treating arterial disorders of the foot. • Determining the specific venous system (e.g. Superficial, Deep or Perforating veins) responsible for conditions due to venous pathologies (e.g. ankle ulceration). • Medically managing venous conditions of the leg and foot. • Understanding the surgical management of venous disorders of the lower extremity. • Determining the cause of lymphatic disease affecting the lower extremities (e.g. lymphedema praecox vs. lymphatic obstruction secondary to infection). • Medically managing lymphatic disease of the lower extremities. • Diagnosing skin diseases that have a high predilection to the feet (e.g. Warts, Unna-Thost disease). • Treating skin diseases that have a high predilection to the feet. • Diagnosing skin disorders that have a predilection to the leg (e.g. Necrobiosis lipoidica diabeticorum, pretibial myxedema). • Treating disorders that have a predilection to the leg. • Determining whether a skin disorder of the lower extremities is part of a generalized condition or is simply a local phenomenon. • Diagnosing generalized disorders of the skin manifesting in the lower extremity (e.g. Atopic dermatitis, Psoriasis).
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