Diabetic Feet Flashcards
1
Q
what does diabetic foot problems encompass?
A
diabetic neuropathy
peripheral vascular disease
infection
2
Q
what combination in diabetic feet can lead to amputation?
A
combination of neuropathy, ischaemia and infection can contribute to tissue ulceration, necrosis and gangrene
3
Q
systemic features of diabetic foot
A
pyrexia tachycardia tachypnoea confusion Kussmaul's breathing
4
Q
local features of diabetic foot
A
swollen affected digit swollen forefoot (boggy) tenderness ulcer with pus erythema patches of rapidly developing necrosis crepitus due to gas from organisms pedals pulses may be absent
5
Q
diagnosis of diabetic foot
A
FBC, U&Es, CRP, coag, blood cultures, blood glucose arterial blood gas (DKA?) dipstick urine for ketones ECG and CXR XR foot, wound swab
6
Q
management of diabetic foot
A
antibiotics
surgical debridement
7
Q
what causes arterial ulcers
A
inadequate blood supply
8
Q
appearance of arterial ulcers?
A
punched-out appearance
9
Q
ABPI scale
A
0.9-1.3 normal
0.6-0.9 mild
0.3 - 0.6 moderate/ severe
<0.3 critical limb
10
Q
is BP usually higher in the arm of ankle?
A
ankle
11
Q
example of a peripheral vasodilator
A
naftidrofuryl oxalate
