Ax and Mx of Foot Ulcer

Question 1

3 pathogenesis of ulcers

Answer 1

neuropathy
deformity
trauma

leads to infection leads to ulcer

Question 2

WHY ppl with foot ulcers get dry feet?

Answer 2

can’t sweat

Question 3

DMII joints, what causes a positive prayer sign

Answer 3

cheiroarthropathy

Question 4

what would you want to know of someone whose has a foot ulcer for weeks? to help with management

Answer 4

peripheral vascular disease?

osteomyelitis

Question 5

probe to bone positive means?

Answer 5

infection in ulcer has gone to bone

Question 6

5 things you must check in foot ulers

Answer 6

peripheral neuropathy
peripheral vascular disease
ulceration
infection
maximize diabetes control

Question 7

how to detect PVD?

Answer 7

angiography +/- stenting

Question 8

what is sausage toe? what does it mean?

Answer 8

swollen toe with non-pitting oedema, red, no contours

probably osteomyelitis

Question 9

ALP and foot ulcers?

Answer 9

> 135IU/L means they have osteomyelitis

Question 10

gold standard imaging for osteomyelitis?

Answer 10

MRI

tc99 bone scan

Question 11

wound management: TIME acronym

Answer 11

Tissue (remove dead)
Inflamm/Infect?
Moisture (need balance)
Edge of wound not advancing

Question 12

once you have an amputation or foot ulcer, what are your chances of getting it again?

Answer 12

20-50%