DescriptionFoot ulcers occur in approximately 15% of the patients with diabetes mellitus in their lifetime, with a major impact on their quality of life. Many hospital admissions related to diabetes are due to foot ulcers, which can result in prolonged hospital stay and increased morbidity and mortality. The majority of lower limb amputations are performed in patients with diabetes every year (80,000 at least in the USA). Most of the diabetes-related foot problems can be prevented or their severity reduced by early detection and treatment. This book contributes to improved foot care through raised awareness of prevention, clinical manifestations, diagnosis and management among healthcare professionals.
This comprehensive atlas, now in a second edition, provides:
- 520 colour photographs, graphs, tables and imaging studies
- Educational examples taken from genuine case reports
- A reference guide for identifying patients at risk for foot problems
- Illustration of common problems such as neuropathic and neuroischaemic ulcers, ischaemia and infection
- Introduction to new technologies and bioengineered materials used for the treatment of foot ulcers
This book will be of interest to diabetologists, endocrinologists, podiatrists, specialist nurses, general practitioners, surgeons and clinical researchers.
Aetiopathogenesis of foot problems in diabetes – text & 2 graphs.
Classification of foot problems – text & table & graphs.
I. DIABETIC NEUROPATHY.
Methods of assessment of the foot at risk.
Tactile sensation (Light touch – cotton wool).
Vibration perception (tuning fork) Biothesiometer.
II. ANATOMY RISK FACTORS FOR THE DIABETIC FOOT – FOOT DEFORMITIES.
Prominence of metatarsal heads.
Splaying of the front foot.
Previous (minor) amputation.
III. OTHER FOOT RISK FACTORS.
IV. OTHER RISK FACTORS.
V. NEUROPATHIC ULCERS.
Over a callus in various sites of the foot.
Over a bone prominence or in various foot deformities.
On a toe (tips, dorsum of phalanges).
Over a metatarsal head.
(figures, pedobarograph images, radiology studies etc as applied in each case)
VI. PERIPHERAL VASCULAR DISEASE.
VII. ISCHAEMIC ULCERS.
At various sites.
Toes and inner aspects of toes.
Outer and inner aspect of the foot.
VIII. CHARCOT FOOT.
Ulcer on a Charcot foot.
IX. THE NEUROISCHAEMIC ULCER.
Fungal infections of toes and foot.
Deep tissue infections.
(radiology studies, CT scans, MRI, scintigraphy etc).
XI. METHODS OF PREVENTION.
Appropriate footware, socks.
XII. METHODS OF ULCER HEALING.
Bed resting, wheelchair, crutches, total cast, scotch cast boot, shoes, insoles.