The document discusses risk factors, evaluation, and management of diabetic foot ulcers. Key risk factors include neuropathy, peripheral arterial disease, abnormal foot biomechanics, and delayed wound healing. Evaluation involves medical history, physical exam, and lab tests. Management consists of wound debridement, dressing, antibiotics, revascularization if needed, and sometimes amputation for infected or non-healing ulcers. Patient education and preventative foot care are also important.

1. PRESENTED BY
THAVAMANI KANDASAMY

5.  NEUROPATHY
 PERIPHERAL ARTERIAL DISEASE
 ABNORMAL FOOT BIOMECHANICS
 DELAYED WOUND HEALING

7. 30TIMES MORE PREVALENT IN DIABETES
DIABETICS GET ARTERIOSCLEROSIS
CALCIFICATION OF THE MEDIA
OFTEN INCREASED BLOOD FLOW WITH
LACK OF ELASTIC PROPERTIES OF THE
ARTERIOLES
NOT A PRIMARY CAUSE OF FOOT ULCER

8.  ABNORMAL WEIGHT BEARING
 FIXED FOOT DEFORMITIES
 HAMMER TOE
 CLAW TOE
 PROMINENT METATARSAL HEADS
 CHARCOT’S JOINTS

12.  DOEST NOT ALLOW RESOLUTION OF
FISSURES AND MINOR INJURIES
 INCREASED CHANCE OF INFECTION

13.  HISTORY COLLECTION
 DIABETES DURATION
 GLYCEMIC MANAGEMENT CONTROL
 CARDIOVASCULAR,RENAL,&OPTHALMIC
EVALUATION
 NUTRITIONAL STATUS
 SOCIAL HABITS LIKE
ALCOHOL,TOBACCO,DRUGS
 PREVIOUS HOSPITALIZATION/SURGERY
 WOUND STATUS

14.  FBS,PPBS,HbA1C
 COMPLETE BLOOD COUNT,ESR
 RENAL FUNCTION TEST
 URINE ANALYSIS
 WOUND & BLOOD CULTURE
 X-RAY
 DOPPLER STUDY
 CT ANGIOGRAPHY

17. STAGE 2

20. STAGE 5

21.  IDENTIFICATION OF HIGH RISK PATIENT
 PATIENTS EDUCATION
 CAREFUL SELECTION OF FOOT WEAR
 DAILY INSPECTION OF FEET
 DAILY FOOT HYGIENE,MOIST & CLEAN
 AVOIDANCE OF SELF TREAMENT OF FOOT
ABNORMALITIES&HIGH RISK BEHAVIOUR
 PROMPT CONSULTATION WITH HEALTH
CARE PROVIDER

22.  ORTHOTIC SHOES& DEVICES
 CALLUS MANAGEMENT
 NAIL CARE
 PROPPER DRESSING
 ATTENTION TO HIGH RISK FACTORS
 SMOKING,HTN,DYSLIPIDEMIA
 GLYCEMIC CONTROL

23.  DEBRIDEMENT
 WOUND DRESSING
 ANTIBIOTICS
 REVASCULARIZATION
 AMPUTATION

24.  GAUZE PADS
 TRANSPARENT FLIMS
 HYDROGELS
 FOAM
 HYDRO COLLOID
 ALIGINATE
 COLLAGEN DRESSING
 ANTI MICROBIAL DRESSING

25.  SALINE
 POVIDONE IODINE
 CHLORHEXIDINE
 HYPOCHLORITE
 BACITRACIN,NEOMYCIN
 MUPIROCIN