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Endocrine 2 > Diabetic Foot Problems > Flashcards

Diabetic Foot Problems Flashcards

1
Q

Where is peripheral vscular disease most common in the foot?

A

Tibial and peroneal arteries

Spares the dorsalis pedis artery

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2
Q

What are the factors that contribute to PVD?

A

Smoking
HTN
Hyperipidiemia

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3
Q

What are the S and S of Arterial Occlusive disease?

A 
Claudation
Rest pain
Atrophic, shiny skin
Diminished hair growth
Dependent Roubor
Pallor on elevation
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4
Q

What are evaluation modalities for peripheral vasculature?

A 
Pulses 
CFT
Presentation of skin
Doppler
Ankle Brachial Index >.5
Transcutaneous O2 >30mm Hg
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5
Q

What is seen on a moderate obstruction in Doppler US waveform?

A

Rounding of upstroke/Dnstroke
Decreased peak height
Absent flow reversal
Absent elastic rebound

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6
Q

What is seen on a severe obstruction in Doppler US waveform?

A

Loss of peak height
Absent flow reversal
Absent elastic rebound

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7
Q

What is seen on a in Doppler US waveform in anormal foot?

A

Rapid upstroke/dnstroke
Flow reversal
Bidirectional
Art wall rebound

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8
Q

What is seen on a mild obstruction in Doppler US waveform?

A

Decreased peak height
partial loss of Flow reversal
Bidirectional
Loss of art wall rebound

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9
Q

What is the neurotraumatic theory?

A

Exaggerated overuse injury coupled with loss of protective sensation
Initiated by acute trauma or repeditive microtrauma
Lack of sensation allows continued tissue destruction => fractures and dislocation

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10
Q

What is the Neurovascular theory?

A

…

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11
Q

What are the Eichenholtz stages of Charcot?

A

St1: Developmental
St2: Coalescence
St3: Reconstruction

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12
Q

What is Atrophic vs Hypertrophic Charcot?

A

…

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13
Q

What are the Treatment modalities for Acute Chacot?

A

Prevention of further trauma
Acute: non-wtbearing
cast, drugs to limit bone reabs
Precautions for contralateral limb

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14
Q

What are the Treatment modalities for Later stage Chacot?

A

Arthrodesis
Pan met head resection
tendo-achilles lengthening
external fixation

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15
Q

What are the types of Ulcerations?

A

Failed to proceed to the stages of wound healing

  • arterial
  • Venous
  • Neuropathic
  • Pressure
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16
Q

What is included in Wagner’s grading system?

A 
Tells you deepness and what else is invoved
Gr1:
Gr:2
Gr3:
Gr4:
Gr5
17
Q

What are the principles of Ulcer management? (7)

A 
Vascular Supply
Debriedment
Infection control
Offloading
Wound Management
Wound closure (surgical)
Management of comorbidities
18
Q

What are the Clinical signs of infection?

A 
Erythema
Malodor
Purulence
Edema
Calor
Ascending Lymphadenitis
19
Q

What are the unique aspects of Culture in a Diabetic foot ulcer?

A

Deep swab
Collect Purulence
Deep Tissue culture
Bone biopsy for culture and histo

Endocrine 2 (16 decks)

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