diabeteic foot sepsis Flashcards
1
Q
what do diabetic foot problems encompass
A
diabetic neuropathy, peripheral vascular disease and infection
2
Q
what do these lead to
A
ulceration, necrosis and gangrene
3
Q
what may it require
A
amputation
4
Q
what is the single strongest factor for limb loss
A
diabetes
5
Q
what may diabetic foot sepsis result from
A
puncture wound
infection from nail plate or interdigital space
neuroischaemic ulcer
6
Q
why is diabetic foot sepsis a problem
A
the muscles on the foot are confined in rigid compartments, infection cant get out of them and the pus builds up and cant escape
7
Q
CF
A
pyrexia tachypnoea tachycardia confused from sepsis kussmauls breathing
8
Q
local CF
A
- Swollen affected digit
- Swollen forefoot
- Tenderness, pain
- Ulcer with pus extruding
- Erythema, may track up limb
- Patches of rapidly developing necrosis.
- Crepitus in the soft tissues of the foot – gas in the soft tissue from gas forming organisms.
9
Q
foot pulses
A
absent or present
10
Q
management
A
vascular surgical emergency
- remove infected tissue and leave wound open to encourage drainage
11
Q
what is diabetic foot sepsis fundamentally a problem of
A
pressure
