EVALUATION OF THE DIABETIC FOOT

Question 1

most important considerations for her vascular examination?

Answer 1

palpation of pulses
handheld doppler examination
skin/limb color changes

Question 2

all abnormalities need what?

Answer 2

NIVS

vascular referral

Question 3

most important considerations for dermatologic examination?

Answer 3

skin appearance
calluses
ulceration, gangrene, infection

Question 4

wound sizes must be in?

cardinal signs of infection?

Answer 4

centimeters

rubor, calor, dolor, tumor, functio laeso

Question 5

neurologic examination consists of?

Answer 5

vibration perception
light pressure
babinski test

Question 6

msk examination consists of?

Answer 6

structural deformities

gait evaluation

Question 7

major risk factors for ulceration?

general or systemic contributions

Answer 7

uncontrolled hyperglycemia
duration
peripheral vascular disease
blindness 
chronic renal disease
older age

Question 8

major risk factors for ulceration?

local issues

Answer 8

peripheral neuropathy
structural foot deformity
trauma and improperly fitted shoes
callus
h/o prior ulcer/amputation

Question 9

diagnostic and tx of diabetic foot infections?

soft and bone/joint infection?

Answer 9

local cellulitis
advancing cellulits/lymphangitis
necrotizing fasciitis/gas gangrene

acute osteomyelitis vs charcot joint
chronic osteomyelitis

Question 10

major wound classification systems?

Answer 10

wagner
-depth and level of necrosis

USTA
-depth, infection, ischemia