Tissue necrosis in the feet is a common reason for hospital admission in diabetic patients.
Foot ulceration occurs as a result of trauma in the presence of neuropathy and peripheral vascular disease with infection occurring as a secondary phenomenon following disruption of the protective epidermis.
The most common cause of ulceration is a plaque of callus skin beneath which tissue necrosis occurs. This eventually breaks through to the surface.
Investigations-
1. Blood glucose.
2. Angiography may be necessary if the foot is ischemic or ulcers are very slow to heal.
Management-
1. Removal of callus skin with a scalpel is usually best done.
2. Local infection is treated with antibiotics.
Do you know about- Causes and Symptoms of Aortic Insufficiency
Do You Know About Popliteal Aneurysms?
Foot ulceration occurs as a result of trauma in the presence of neuropathy and peripheral vascular disease with infection occurring as a secondary phenomenon following disruption of the protective epidermis.
The most common cause of ulceration is a plaque of callus skin beneath which tissue necrosis occurs. This eventually breaks through to the surface.
Investigations-
1. Blood glucose.
2. Angiography may be necessary if the foot is ischemic or ulcers are very slow to heal.
Management-
1. Removal of callus skin with a scalpel is usually best done.
2. Local infection is treated with antibiotics.
Do you know about- Causes and Symptoms of Aortic Insufficiency
Do You Know About Popliteal Aneurysms?
Comments
Post a Comment