Foot Care

Question 1

____% of non-traumatic lower limb amputations are due to diabetes.

Answer 1

85%

Question 2

What causes diabetic foot ulcers?

Answer 2

Neuropathy and HYPERGLYCEMIA

Atherosclerosis

Question 3

Sensory testing with 10g filament is significant for neuropathy if unable to feel <____ sites.

Answer 3

six

Question 4

Signs of arterial dz

Answer 4

Intermittent claudication
Thin, shiny skin
Lack of hair
Lack of subcutaneous padding
Dusky red, cyanotic, gray color

Question 5

Musculoskeletal deformities

Answer 5

High arch feet
Bunions
Claw and hammer toes
Past ulceration sites
Charcot foot

Question 6

Tx for diabetic foot cellulitis

Answer 6

Group A, B strep and S aureus

Cephalosporins, clindamycin

Question 7

Acute osteomyelitis

Answer 7

S aureus most common
Watch for MRSA
Broad spectrum, then specific with culture

Question 8

Charcot foot

Answer 8

Destructive arthropathy, impaired pain perception.
Bone becomes washed out and weak, resulting in small fx’s.
Most commonly involved midfoot joints.

Question 9

Charcot S/S

Answer 9

Painless sweling**
Painful foot when normally neuropathic
Bounding pulses
Immobilize!

Question 10

Diabetic shoes

Answer 10

high arch, smooth walls

Covered under insurance