Diabetic Foot, Causes, Risk Factors, and Clinical Evaluation
•
4 recomendaciones•4,197 vistas
Diabetic Foot, Causes, Risk Factors, and Clinical Evaluation. Including Pathophysiology(Neuropathy and Peripheral Artery Disease), Clinical Evaluation(general assessment, foot exam, artery and sensation check up)
Recomendados
Recomendados
Más contenido relacionado
Similar a Diabetic Foot, Causes, Risk Factors, and Clinical Evaluation
Similar a Diabetic Foot, Causes, Risk Factors, and Clinical Evaluation (15)
Más de Yung-Tsai Chu
Más de Yung-Tsai Chu (12)
Último
Último (20)
Diabetic Foot, Causes, Risk Factors, and Clinical Evaluation
- 1. Diabetic Foot Causes, Risk Factors and Clinical Evaluation Reference: Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359 David G. Armstrong et al. Diabetic Foot Ulcers and Their Recurrence. N Engl J Med 2017; 376:2367-2375 Summarized By Yung-Tsai Chu
- 2. Pathway of Diabetic Foot Ulcer Poor Glycemic Control Neuropathy Peripheral Artery Disease Sensory Motor Autonomic Loss of Protective Sensation Less Sweating→ Dry Skin Foot Deformity Reference: David G. Armstrong et al. Diabetic Foot Ulcers and Their Recurrence.N Engl J Med 2017; 376:2367-2375
- 3. Risk Factors of Recurrence High Vibration Threshold Presence of Preulcerative Lesion Presence of Peripheral Artery Disease Presence of Osteomyelitis Geriatric Depression Scale >= 10 CRP > 1.5mg/dL HbA1c >7.5% Reference: David G. Armstrong et al. Diabetic Foot Ulcers and Their Recurrence.N Engl J Med 2017; 376:2367-2375
- 4. Clinical Evaluation Foot Examination Reference: Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359 General Assessment Signs of Sepsis Visibly Unwell, Drowsy, Fever etc. Active Disease Ulcer, Rest Pain, Gangrene, Cellulitis Temp and Color Ischemia: Cold, Pale/Dusky Acute Charcot Foot: Warm, Red or Swollen Nails, Callus, Maceration, Pes Cavus, Skin Fissures, Claw/Hammer Toes, Rocker Bottom Foot, Fungal Infection Lesions or Deformities (DEF)
- 5. Clinical Evaluation Foot Examination Reference: Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359 General Assessment Signs of Sepsis Visibly Unwell, Drowsy, Fever etc. Active Disease Ulcer, Rest Pain, Gangrene, Cellulitis Temp and Color Ischemia: Cold, Pale/Dusky Acute Charcot Foot: Warm, Red or Swollen Lesions or Deformities (DEF) Nails, Callus, Maceration, Pes Cavus, Skin Fissures, Claw/Hammer Toes, Rocker Bottom Foot, Fungal Infection Urgent Referral
- 6. Clinical Evaluation Foot Examination Loss of Protective Sensation (LOPS) Peripheral Artery Disease (PAD) Pinprick Monofilament Vibration Tuning Fork Reference: Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359 General Assessment History of Intermittent Claudication Posterior Tibial Artery Dorsalis Pedis Artery Foot Pulses Ankle-Brachial Index < 0.9
- 7. Risk Assessment and Referrals Reference: Satish Chandra Mishra et al. Diabetic foot. BMJ 2017; 359 Presentation Management Follow-up Low Risk Callus Alone Patient Education Glycemic Control, Foot care Every Year Medium Risk 1 of Followings: Deformity, LOPS or PAD Patient Education Manage PAD ● Statin + Antiplatelet ● Exercise ● Vascular Intervention Every 3-6 Months High Risk ● Previous Amputation or Ulceration ● 2 of Followings: Deformity, LOPS or PAD Diabetic Foot Center Foot Protection Services Surgical Management Every 1-2 months