diabetic ulcers

Question 1

neuropathic ulcer: periwound looks like

Answer 1

callous build up due to pressure

Question 2

Type 1A DM

Answer 2

immune destruction of pancreatic meta cells (does not produce enough insulin)

Question 3

type 1B DM

Answer 3

hereditary: Asian and african

Question 4

leading risk factor for CAD, CVA, PVD, atherosclerosis

Answer 4

diabetes (thickening of basement membrane, decreased O2)

Question 5

osteoarthropathy

Answer 5

caused by vasodilation –>more blood flow takes calcium from bone–> risk for FRACTURE: CHARCOT FOOT

Question 6

Increased frequency of certain infections: osteomyelitis, soft tissue infections and candidal infections due to WHAT

Answer 6

neuropathy of diabetes

Hyperglycemia decreases the rate of collagen synthesis, phagocytosis, angiogenesis, and fibroblast proliferation and reduce the tensile strength of incisional wounds

Question 7

midfoot ulcers heel faster than forefoot: true or false

Answer 7

true

Question 8

Wagner scale or UT diabetic wound scale

Answer 8

0-1 none-mild
2-3 deep
4-5 gangrene

Question 9

what is gold standard of care for neuropathic ulcers?

Answer 9

TCC (total contact casting)

Question 10

TCC contra

Answer 10

Should not use if the patient isn’t compliant with follow up, has infection, has lots of edema fluctuations, ABI <0.45

Question 11

treatment surgery for neuropathic ulcers

Answer 11

surgical debridement
incision and drainage of abscess
address foot deformities
amputation