Traditionally seen as being at the heart of all diagnostic evaluations, the History and Physical is both an art and science. This lecture will review the basic format for obtaining a complete history, followed by key elements of a thorough physical exam. This will be done with an emphasis on effective evaluation of the "at risk" medical patient, through the eyes of a Family Physician. For some, it will be a review of skills already acquired while others will learn new techniques. Hopefully everyone will gain a better appreciation and enhanced confidence of the pre-operative medical clearance.

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Dr. Bakotic speaks about the most common malignant tumors affecting the small bones of the feet. Using his published experiences at Memorial Sloan-Kettering Cancer Center as a template for the discussion, he notes important trends with regard to frequency of occurrence, treatment, and prognosis when these tumors arise in the feet. Pertinent epidemiologic data, radiographic features, and histopathologic and genetic findings are additionally reviewed. In some cases, gross images are used to provide an anatomic correlation for pertinent radiographic findings. Taking a new approach, Dr. Bakotic points out the contrasting clinicopathologic data that relates to malignant tumors of the bones of the feet as opposed to similar tumors arising elsewhere in the skeletal system.

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Dr. Robert Snyder discusses trends, causes, and newer approaches to MRSA and other resistant infections. The advantage of SWITCH therapy using Zyvox, Levaquin and Cipro is reviewed

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