Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...
Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ... Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...
Neuropathy Diagnosis: Semmes-Weinstein monofilaments 5.07 (10 gm.) size 100% sensitive, 75% specific biothesiometer (vibratory stimulus) 79% sensitive, 93% specific Kumar, et al Diab Res, Clin Pract 13: 1991
Neuropathy treatment • maximize glucose control intensive tx. ↓ neuropathy 64% • oral medication for painful neuropathy* gabapentin, cymbalta, lyrica • compounded nerve creams Diabetes control research grp Ann Int Med 122: 1995
- 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 and 12: Neuropathy metabolic contribution:
- Page 13 and 14: Neuropathy Autonomic dysfunction: a
- Page 15: Neuropathy Immune dysfunction: maln
- 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
- Page 62 and 63: Etiology Neurovascular theory neura
- Page 64: stage I Charcot • x-ray: fragment
Neuropathy treatment<br />
• maximize glucose control<br />
intensive tx. ↓ neuropathy 64%<br />
• oral medication for painful neuropathy*<br />
gabapentin, cymbalta, lyrica<br />
• compounded nerve creams<br />
Diabetes control research grp<br />
Ann Int Med 122: 1995
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