Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...
Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ... Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...
Neuropathy Sensory dysfunction: distal → proximal; stocking-glove pattern large fiber: ↓ light touch, proprioception small fiber: ↓ pain, temp. perception paresthesias; possibly due to spontaneous depolarization of regenerating nerve fibers
Neuropathy Autonomic dysfunction: arteriovenous shunting loss of skin temperature regulation perspiration loss nonpliable skin hypertrophic callosities
- Page 1 and 2: Evaluation & Treatment of Diabetic
- Page 3 and 4: Objectives • discuss the musculos
- Page 5 and 6: Diabetes; the “giving” disease
- Page 7 and 8: Diabetes mellitus Epidemiology >65
- Page 9 and 10: Neuropathy Epidemiology associated
- Page 11: Neuropathy metabolic contribution:
- Page 15 and 16: Neuropathy Immune dysfunction: maln
- Page 17 and 18: Neuropathy treatment • maximize g
- Page 19 and 20: Diabetic foot ulcer Epidemiology 15
- Page 21: Ulcer formation pressure + neuropat
- Page 24 and 25: depth Ulcer classification 0: “at
- Page 26: Mechanical, structural factors •
- Page 30 and 31: Sensation Monofilament testing 5.07
- Page 32 and 33: Circulation Waveform characteristic
- Page 34 and 35: Infection • screening labs CBC, E
- Page 36 and 37: Infection
- Page 38 and 39: Healing potential Screening labs to
- Page 40 and 41: Off-loading • pressure prevents u
- Page 42 and 43: Total contact cast
- Page 44 and 45: Protection
- Page 46 and 47: Exostectomy
- Page 48 and 49: Exostectomy
- Page 50 and 51: Reconstruction
- Page 52 and 53: Neuroarthropathy • Jean-Martin Ch
- Page 54 and 55: Neuroarthropathy Typical scenario i
- Page 58 and 59: Neuroarthropathy • “no ulcer -
- Page 60 and 61: Neuroarthropathy “at-risk” fact
Neuropathy<br />
Autonomic dysfunction:<br />
arteriovenous shunting<br />
loss <strong>of</strong> skin temperature regulation<br />
perspiration loss<br />
nonpliable skin<br />
hypertrophic callosities