DIABETIC FOOT

1. DIABETIC FOOT Dr.Suleiman Jastaniah FRCS (Ed),FACS, Trauma Fellowship(Toronto university) Associated Prof. College of Medicine

2. Diabetic foot : • Definition • Causes • Clinical Presentation • Examination • Investigations • Management • Prevention

3. The most Frequent underlying causes : 1) Trauma 2) Neuropathy 3) Deformity 4) Peripheral arterial diseases

4. Clinical presentation : Important points in the history : • Duration • Trauma • Discharge • Fever • Loss of sensation • Diabetic status

5. Examination : • General : • Local : • Site • Size • Shape • Edge • Floor • Base • Surrounding tissues – color - Temperature • Pulses • Sensations • Lymph nodes

8. Signs of infection : • pus discharge • crepitus • fluctuation • deep tenderness • Red foot------------------ cellulitis • Pale or cyanotic------- ischemia • Pink foot associated with pain----- severe ischemia • Pulses are weak in ischemic limb and strong in neuropathic limb

9. Investigations : • CBC • Chemistry • RBS • Urine for sugar and acetone • Plain X-Ray • Chest X-ray • ECG • Duplux ultrasound

10. Management : Management of foot ulcer is determined by its severity, vascularity, and the presence of infection. It requires : 1) Knowledge of the major risk factors for amputation 2)Frequent routine evaluation 3) Meticulous preventive maintenance

11. Management : • General : • Local : • Debridement • Treat the infection • Improve the ischemia

13. Management Program : • Prevention • Education • Regular foot examinations -Come to the clinic if you notice : • swelling • Color changes • Thick hard skin or corn • Cracks or blisters • Aggressive intervention • Optimal use of therapeutic foot wear

14. Some preventive measures : • Do : • Wash feet daily with mild soap and warm water • Check feet daily • Seek urgent treatment of any problems • Wear a sensible shoes • Do not : • Use a corn cutters • use a hot water bottles • Walk bare foot • Treat foot problems yourself

15. أفراد الفريق الطبي الذين يشتركون في العناية بالقدم السكري: • الطبيب الأساسي • الممرضة المدربة المثقفة • اختصاصي العصبية • جراح الأوعية الدموية • جراح العظام • أخصائى العلاج الطبيعي • ممرضه للعناية المنزلية • مشرف اجتماعي

16. THANK YOU