Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...
Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ... Evaluation and Treatment of Diabetic Neuroarthropathy - Medical ...
depth Ulcer classification 0: “at risk”, intact skin 1: superficial 2: deep; tendon/joint exposed 3: extensive; bone exposed * ischemic a: nml b: ischemia c: partial gangrene d. nasty gangrene
Ulcer treatment • structural factors WB x-rays • sensation • circulation • infection • healing potential labs monofilaments ABIs with toe pressures labs, imaging
- 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 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 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
- Page 67 and 68: stage III Charcot • x-ray: recons
- Page 69 and 70: Neuroarthropathy Treatment goals cr
- Page 71 and 72: Charcot acute treatment • strict
- Page 73 and 74: Stage II treatment • protected we
depth<br />
Ulcer classification<br />
0: “at risk”, intact skin<br />
1: superficial<br />
2: deep; tendon/joint exposed<br />
3: extensive; bone exposed *<br />
ischemic<br />
a: nml<br />
b: ischemia<br />
c: partial gangrene<br />
d. nasty gangrene