Diabetic Foot Flashcards
(28 cards)
What is diabetic foot disease?
An important complication of diabetes mellitus that should be screened for regularly
NICE produced guidelines relating to diabetic foot disease in 2015.
What are the two main factors that contribute to diabetic foot disease?
- Neuropathy
- Peripheral arterial disease
What does neuropathy result in?
Loss of protective sensation, Charcot’s arthropathy, dry skin
What is peripheral arterial disease associated with in diabetes?
Risk factor for both macro and microvascular ischaemia
What are the presentations of neuropathy in diabetic foot disease?
Loss of sensation
What are the presentations of ischaemia in diabetic foot disease?
- Absent foot pulses
- Reduced ankle-brachial pressure index (ABPI)
- Intermittent claudication
What are some complications of diabetic foot disease?
- Calluses
- Ulceration
- Charcot’s arthropathy
- Cellulitis
- Osteomyelitis
- Gangrene
How often should all patients with diabetes be screened for diabetic foot disease?
At least annually
How is screening for ischaemia conducted?
By palpating for both the dorsalis pedis pulse and posterior tibial artery pulse
What tool is used to screen for neuropathy?
A 10 g monofilament
What defines low risk patients in diabetic foot disease?
Only have callus
What defines medium risk patients in diabetic foot disease?
Have deformity or:
* Neuropathy
* Non-critical limb ischaemia
What defines high risk patients in diabetic foot disease?
Have previous ulceration or:
* Previous amputation
* On renal replacement therapy
* Neuropathy and non-critical limb ischaemia together
* Neuropathy in combination with callus and/or deformity
* Non-critical limb ischaemia in combination with callus and/or deformity
Who should medium and high risk patients be followed up by?
Local diabetic foot centre
What is diabetic foot disease?
An important complication of diabetes mellitus that should be screened for regularly
NICE produced guidelines relating to diabetic foot disease in 2015.
What are the two main factors that contribute to diabetic foot disease?
- Neuropathy
- Peripheral arterial disease
What does neuropathy result in?
Loss of protective sensation, Charcot’s arthropathy, dry skin
What is peripheral arterial disease associated with in diabetes?
Risk factor for both macro and microvascular ischaemia
What are the presentations of neuropathy in diabetic foot disease?
Loss of sensation
What are the presentations of ischaemia in diabetic foot disease?
- Absent foot pulses
- Reduced ankle-brachial pressure index (ABPI)
- Intermittent claudication
What are some complications of diabetic foot disease?
- Calluses
- Ulceration
- Charcot’s arthropathy
- Cellulitis
- Osteomyelitis
- Gangrene
How often should all patients with diabetes be screened for diabetic foot disease?
At least annually
How is screening for ischaemia conducted?
By palpating for both the dorsalis pedis pulse and posterior tibial artery pulse
What tool is used to screen for neuropathy?
A 10 g monofilament
