neuropathic ulcer

Question 1

what are neuropathic ulcers?

Answer 1

1. result of peripheral neuropathy

2. repetitive stress and unoticed injuries which result in painless ulcers forming on the pressure points on the limbs

Question 2

causes

Answer 2

1. diabetes

2. B12 deficiency

Question 3

where do ulcers present?

Answer 3

1. pressure points,

- heel, head of the first 1st and 5th metatarsal

Question 4

clinical features of neuropathic ulcers?

Answer 4

1. punched out appearance
2. deep
3. peripheral neuropathy - absent sensation
4. painless

Question 5

Ix

Answer 5

1. blood glucose levels
2. B12 levels
3. swabs / ABPI if co existing arterial disease

Question 6

Mx

Answer 6

1. Diabetic control optimied / diet and exercise

Question 7

what is charcot’s foot

Answer 7

1. neuroarthropathy
2. loss of joint sensation results in continual unnoticed trauma and deformity occurring e.g. multiple fractures etc
3. swelling, distorted, painless joint