Diabetic Foot Disease Flashcards
1
Q
Diabetic foot disease occurs due to 2 main factors:
- PAD
- Neuropathy
how do you distinguish between the cause of each?
A
PAD will be critical ischaemia presentation with critical toes + absent foot pulses
Neuropathy will be injury/infection over pressure points (charcot’s joint/arthropathy)
2
Q
how do you manage a diabetic with charcot’s joint ?
A
bed rest,
caste
bisphosphonates may help
3
Q
how do you manage a diabetic with cellulitis/abscess?
A
Admit for IV Abx -
benzypenicillin/flucloxacillin + metronidazole
4
Q
how do you manage a diabetic with PAD?
A
vasoreconstruction/amputation
5
Q
how do you manage a diabetic with neuropathy (tingling/numbness pain worse at night)?
A
1st line = paracetomal
2nd line = amitryptyline/gabapentin
3rd line - opiates (tramadol
