Diabetic Foot
A 58-year-old man with poorly controlled type 2 diabetes presents with a malodorous, draining wound on the plantar aspect of his first metatarsal head. He has peripheral neuropathy with absent protective sensation (cannot feel 10g monofilament). The wound probes to bone. Laboratory studies show WBC 14,000 and ESR 85. Radiographs show cortical erosion and periosteal reaction of the first metatarsal head. Regarding diabetic foot infections and ulcers:
Mark each as TRUE or FALSE
Diabetic foot pathology results from the triad of neuropathy (motor, sensory, and autonomic), periph...
The "probe-to-bone" test has high positive predictive value (89%) for osteomyelitis - if a sterile m...
Sensory neuropathy is rare in diabetic foot; motor neuropathy has no effect on foot mechanics; auton...
Wagner classification: Grade 0 (at-risk foot, no ulcer), Grade 1 (superficial ulcer), Grade 2 (deep ...
Treatment principles include glycemic control, vascular assessment (ABI, angiography if needed), inf...
Answer the questions to see explanations
Click T (True) or F (False) for each option