Diabetic Foot
A 62-year-old man with poorly controlled type 2 diabetes presents with a non-healing plantar ulcer under the first metatarsal head present for 8 weeks. He has peripheral neuropathy and cannot feel monofilament testing. The ulcer is 2cm diameter with bone visible at the base. Radiographs show cortical erosion of the first metatarsal head. ESR is 85mm/hr and CRP is 45mg/L. Regarding diabetic foot osteomyelitis:
Mark each as TRUE or FALSE
Diabetic foot osteomyelitis typically occurs by contiguous spread from overlying soft tissue infecti...
Diagnosis combines clinical findings (probe-to-bone, ulcer greater than 2cm, ulcer duration greater ...
Osteomyelitis spreads haematogenously in diabetic feet; probe-to-bone has low predictive value; radi...
Treatment involves multidisciplinary approach including vascular assessment (revascularization if ne...
Prognostic factors include vascular status (critical - poor vascularity predicts failure), extent of...
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Click T (True) or F (False) for each option