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With the exception of nail surgery, podiatrists undertake the treatment of foot problems by non-invasive methods (until recently podiatrists were known as chiropodists). A podiatric surgeon is a non-medically qualified specialist in the treatment of all foot problems by both surgical and non-surgical methods.

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Oral replacement of vitamin B by intramuscular injection of hydroxycobolamin, a form of vitamin B Folic acid deficiency can occur due to pregnancy, malabsorption syndromes or inadequate diet. Some drugs, for example phenytoin, oral contraceptives and isoniazid, can cause reduced absorption of folic acid.

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This lowers blood pressure, reduces the work the heart has to do and improves oedema by encouraging the movement of fluid from the tissues into the circulation. Of the different types of diuretics, the ones used in cardiac failure and hypertension are thiazide diuretics and loop diuretics. Thiazide diuretics work by inhibiting sodium and chloride ion transport in the distal convoluted tubule of the kidney and therefore limit water reabsorption. Thiazides are particularly recommended in older people. A commonly used example of this type of diuretic is bendroflumethiazide.

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I am grateful to Alison Barlow and Peter Bowden for their helpful ideas with matters relating to podiatry and Louise Stuart, MBE for an insight into supplementary prescribing; to Jan Dodgeon for help with topics relevant to radiography and Chris Frames and Chris ONeal for their cialis online sale with devising physiotherapy case studies. Special thanks are due to those who contributed to Chapter Peter Hogg and his co-authors, and Anthony Waddington (Podiatric Surgeon). Without their experience in practice this book would have had far less relevance to the health care professionals for whom it was written. I have to thank students past and present for their inspiration, comments and suggestions over the years and I hope future students and practitioners will benefit from this. Thanks to staff at Wiley, to Neil Manley for creating the index, and to Wendy Mould, who copyedited the book.


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Hopefully, this will give the reader a realistic view of what is currently happening and what might happen in non-medical prescribing. The following section has been written by Anthony Waddington, FCPodS BSc HND, Podiatric Surgeon with Herefordshire Primary Care Trusts and Lecturer Practitioner at the University of Salford.

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