Endo 18 - The Diabetic Foot

Question 1

What test is used to see if someone has peripheral neuropathy?

Answer 1

Monofilament test

Question 2

What is the most common site of ulcers on the foot?

Answer 2

Ball of the foot

Question 3

What 3 arms of neuropathy are involved in causing foot ulceration?

Answer 3

motor - imbalance between flexors and extensors causing abnormal shape of foot so increased pressure on ball of foot and knuckles

sensory - cant feed pain

autonomic - abnormal blood flow

Question 4

What effect can sugar binding to haemoglobin have on the feet?

Answer 4

Reduces flexibility of tendons

Question 5

What are the 3 types of diabetic foot?

Answer 5

Neuropathic
Ischaemic
Neuro-ischaemic

Question 6

Describe the neuropathic foot?

Answer 6

Numb
warm
dry
palpable foot pulses
ulcers

Question 7

Describe the ischaemic foot?

Answer 7

Cold
Pulseless
Ulcers at margins

Question 8

What is Charcot foot?

Answer 8

neuropathy leads to joint overuse and misuse

leads to bones losing normal articulations

abnormal shape means extreme risk of ulceration

Question 9

What can ulceration of the foot lead to?

Answer 9

Osteomyelitis