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Approach to a patient with a diabetic foot.
Artigo em Inglês | IMSEAR | ID: sea-119293
ABSTRACT
Diabetic foot disease is an important cause of morbidity and mortality in persons with diabetes mellitus. The commonest presentation of diabetic foot is an ulcer. Neuropathy, ischaemia and infection are the main pathogenic factors involved. Clinical examination and investigations are focused on identifying the aetiology as well as the extent of foot disease. The monofilament test is a simple, bedside test that can predict the risk of neuropathic ulceration. Treatment of diabetic foot ulcer should focus on antibiotic therapy, dressings, debridement and timely surgery. Glycaemic control and management of systemic comorbid conditions is important. Necrotizing fasciitis is a life-threatening situation where early diagnosis and therapy is important. In ulcers associated with peripheral vessel disease, revascularization, when feasible, can improve blood flow and hasten wound healing. Amputation is reserved for life-threatening situations as well as for severe, non-resolving cases. The majority of amputations are preventable by diabetes education, foot care and appropriate footwear.
Assuntos
Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Sapatos / Bandagens / Humanos / Inibidores da Agregação Plaquetária / Fatores de Risco / Transplante de Pele / Pé Diabético / Desbridamento / Amputação Cirúrgica / Antibacterianos Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco / Estudo de rastreamento Idioma: Inglês Ano de publicação: 2008 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: IMSEAR (Sudeste Asiático) Assunto principal: Sapatos / Bandagens / Humanos / Inibidores da Agregação Plaquetária / Fatores de Risco / Transplante de Pele / Pé Diabético / Desbridamento / Amputação Cirúrgica / Antibacterianos Tipo de estudo: Estudo de etiologia / Estudo prognóstico / Fatores de risco / Estudo de rastreamento Idioma: Inglês Ano de publicação: 2008 Tipo de documento: Artigo