Foot Ulcers Flashcards Preview

Hugh's MD2 Core Conditions and Presentations > Foot Ulcers > Flashcards

Flashcards in Foot Ulcers Deck (15):
1

Why do diabetics get dry feet?

They loss the ability to sweat

2

What are alkaline phosphatase levels tested in ulcers?

RIsing ALP is associated with osteomyelitis

3

How can suspected osteomyelitis be investigated?

Xray - however it takes time for changes to appear

Tc99 bone scan - more sensitive but non-specific

MRI - gold standard for osteomyelitis

4

What are the amputation options?

Toe

Transmetatarsal

Ankle

Below knee

Through knee

Above knee

5

What fraction of T2 diabetics develop peripheral neuropathy?

10% at diagnosis

50% at 20 years

6

What are the pathological contributing factors to a diabetic foot ulcer?

Diabetes

Peripheral vascular disease

Peripheral neuropathy

Infection

7

What are some investigations used for ulcers?

Duplex US

Angiogram

Toe pressures

8

What is probe to bone?

A probe is placed in the wound to see if it reaches the bone

9

What is cheiroarthropathy?

Reduced mobility of joint in diabetics

10

What is the TIME principle for wound management?

T - Tissue non viable- remove defective tissue

I - inflammation or infection - reduce bacterial load

M - Moisture balance

E - Edge of wound not advancing

11

What does a sausage toe look like? What does it reflect?

Swollen and erythematous with loss of normal contours

No pitting oedema

 

Osteomyelitis

12

What are two blood markers for osteomyelitis?

ALP

ESR

13

What are the phases of amputation management?

Pre-op

Acute Post-op

Pre-prosthetic

Prosthetic design

Prosthetic gait training

Community integration

Follow up

14

How often does phantom limb pain occur?

30-81% of the time

15