Neuropathic Ulcers

Question 1

What are the common examination findings?

Answer 1

Ulcers in pressure areas of foot:

Associated with diabetes

Painless, punched out ulcers

Question 2

What are the investigations?

Answer 2

To finish the exam i would like to - ABPI and CV and neuro exam

By the bed - History and obs.

Bloods - FBC, glucose, lipid profile, U/E

other - ECG for CV disease, Doppler and refer for surgery, swabs

Question 3

What are the key investigation findings?

Answer 3

Depends on cause

Likely to show diabetes

Question 4

What is the treatment?

Answer 4

Conservative - Explain what they are and why they have them.

MDT approach - Podiatrist, diabetologist, nurse, GP

Medical - Manage DM and risk factors for arterial disease eg statins, blood thinners, DM medication

Surgical - Debridement, amputation, arerial bypass

Question 5

What are the common causes?

Answer 5

Causes of peripherl neuropathy