Ax and Mx of Foot Ulcer Flashcards Preview

Jason's MD2 ED/Amb Rotation > Ax and Mx of Foot Ulcer > Flashcards

Flashcards in Ax and Mx of Foot Ulcer Deck (12):
1

3 pathogenesis of ulcers

neuropathy
deformity
trauma

leads to infection leads to ulcer

2

WHY ppl with foot ulcers get dry feet?

can't sweat

3

DMII joints, what causes a positive prayer sign

cheiroarthropathy

4

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

peripheral vascular disease?
osteomyelitis

5

probe to bone positive means?

infection in ulcer has gone to bone

6

5 things you must check in foot ulers

peripheral neuropathy
peripheral vascular disease
ulceration
infection
maximize diabetes control

7

how to detect PVD?

angiography +/- stenting

8

what is sausage toe? what does it mean?

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

probably osteomyelitis

9

ALP and foot ulcers?

>135IU/L means they have osteomyelitis

10

gold standard imaging for osteomyelitis?

MRI
tc99 bone scan

11

wound management: TIME acronym

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

12

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

20-50%