Beruflich Dokumente
Kultur Dokumente
1/ Neuropathy
-main contributor to the DFU
-sensory disfunction leads to lack of protective sensation
-autonomic dysfunction leads to drying of skin due to lack
of normal glandular function
2/Angiopathy
-reduced blood flow due peripheral vascular disease
Approach to diabetic foot
History
Physical Examination
Investigations
-biochemical investigation
-imaging
-vascular investigation
-neurological investigation
History
Location,size,depth,margin,swelling,colour,odour,base,flo
or,type of discharge
Probing of the ulcer is also important aspect of the ulcer
assessment-to look for extension to bone,sinus tract,joint
and tendon sheath
If cultures are to be taken it must be taken from deeper
tissue as any superficial wound culture are often
misleading and inaccurate
Classification
of diabetic
foot ulcer
University
of Texas
classificatio
n
Principles of Treatment
Education
-importance of daily foot inspection and early intervention
-hyperglycemic control
Foot care
Therapeutic shoes
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