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Foot & Ankle
intermediate
X-Type

Diabetic Neuropathy - Screening and Charcot Management

Diabetic Foot

A 62-year-old man with type 2 diabetes of 15 years duration presents with a hot, swollen right foot without pain. He denies any trauma. On examination, the foot is erythematous and warm with a temperature difference of 4 degrees Celsius compared to the left foot. There is no break in skin integrity. He has reduced sensation to monofilament testing bilaterally. Regarding diabetic neuropathy and its complications:

Mark each as TRUE or FALSE

A

Diabetic peripheral neuropathy affects 50% of diabetic patients and causes irreversible loss of prot...

B

This patient's presentation (hot, swollen, PAINLESS diabetic foot with temperature difference greate...

C

Established diabetic neuropathy can be reversed with tight glycemic control; annual foot screening i...

D

The three major orthopaedic complications of diabetic neuropathy (CUA) are Charcot neuroarthropathy,...

E

Total contact casting is the gold standard for offloading diabetic foot ulcers, reducing plantar pre...

Answer the questions to see explanations

Click T (True) or F (False) for each option