Diabetic Foot
A 58-year-old man with long-standing type 2 diabetes presents with a red, hot, swollen left foot that he noticed 2 weeks ago. He denies trauma or fever. He has peripheral neuropathy and cannot feel his feet. On examination, the foot is erythematous, warm to touch, and swollen. Radiographs show fragmentation and subluxation at the tarsometatarsal joints. Blood glucose is poorly controlled and inflammatory markers are mildly elevated. Regarding Charcot neuroarthropathy of the foot:
Mark each as TRUE or FALSE
Charcot neuroarthropathy is a progressive destructive condition affecting bones and joints in patien...
Clinical presentation: warm, swollen, erythematous foot often mistaken for cellulitis or osteomyelit...
Patients typically present with severe pain; the foot is cool to touch; infection is the most common...
Distinguishing Charcot from osteomyelitis is critical: Charcot typically lacks skin ulceration, has ...
Treatment: acute phase requires immobilization and offloading with total contact cast (TCC) or remov...
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Click T (True) or F (False) for each option