dr.suleiman jastaniah frcs (ed),facs, trauma fellowship(toronto university) associated prof. college...
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DIABETIC FOOT
Dr.Suleiman Jastaniah FRCS (Ed),FACS, Trauma
Fellowship(Toronto university)Associated Prof. College of Medicine
Diabetic foot :• Definition• Causes• Clinical Presentation • Examination• Investigations• Management• Prevention
The most Frequent underlying causes:
1 )Trauma
2 )Neuropathy
3 )Deformity
4 )Peripheral arterial diseases
Clinical presentation: Important points in the history :o Durationo Traumao Dischargeo Fevero Loss of sensationo Diabetic status
Examination: General : Local :
Site Size Shape Edge Floor Base Surrounding tissues – color - Temperature Pulses Sensations Lymph nodes
Signs of infection: pus dischargecrepitusfluctuationdeep tenderness
Red foot------------------ cellulitis Pale or cyanotic------- ischemia Pink foot associated with pain----- severe
ischemia
Pulses are weak in ischemic limb and strong in neuropathic limb
Investigations :•CBC•Chemistry•RBS•Urine for sugar and acetone•Plain X-Ray•Chest X-ray•ECG•Duplux ultrasound
Management: Management of foot ulcer is determined by
its severity, vascularity, and the presence of
infection.
It requires : 1) Knowledge of the major risk factors for
amputation 2)Frequent routine evaluation 3) Meticulous preventive maintenance
Management: General : Local :
• Debridement• Treat the infection• Improve the ischemia
Management Program: Prevention Education Regular foot examinations
-Come to the clinic if you notice : swelling Color changes Thick hard skin or corn
Cracks or blisters Aggressive intervention Optimal use of therapeutic foot wear
Some preventive measures: Do :
• Wash feet daily with mild soap and warm water
• Check feet daily• Seek urgent treatment of any problems• Wear a sensible shoes
Do not :• Use a corn cutters• use a hot water bottles• Walk bare foot• Treat foot problems yourself
في يشتركون الذين الطبي الفريق أفراد: السكري بالقدم العناية
األساسي الطبيب المثقفة المدربة الممرضة العصبية اختصاصي الدموية األوعية جراح العظام جراح الطبيعي العالج أخصائى المنزلية للعناية ممرضه اجتماعي مشرف
THANK YOU