Nbr - Diabetes And Infecitouls Diseases

Front 1

What are the pathogenic factors in diabetic foot ulcers?

Back 1

infection, neuropathy ans ischemia

Front 2

What are the typical signs of infection i diabetics?

Back 2

inflammation, purulence, sins tracts, crepitation, cellulitis, hyperglycemia are usually seen in association with foot infections. Do not rely on fevr , chills, or lekocytosis since theri abscence has been reported in over two thirds of patients with limb threatenig infections

Front 3

What is a common sign of limb-or ligfe threatenign infection?

Back 3

hyperglycemia

Front 4

What organism are involved in mild diabetic foot infectons?

Back 4

Aerobic gram-posistive coccis such as staphylococcus aureus or sterptococus

Front 5

What organism are involved in sever limb threating infections?

Back 5

Polymicrobia infections usualy invilve aerobic gram-positive coccis (staph or strep), gram negative bacilli (e. coli, klebsiella sepcis, or preteus species) and anaerobes (bacteroides species and petpsterptococcus)

Front 6

In the diabetic foot, what diagnosis must be considered if reness swelling and wrmth eixst

Back 6

carcot disease must be ruled out unless obvious sings of infection are present

Front 7

What is the preferred weigtbearing status of an infected or noninfected neuropathic ulcer?

Back 7

ideally avoidance of any weghtbearing is prefererd, however, realistically, minimized pressure can be achieved with total ocntact casting or felted foam dressings inorder to provide decreased pressure to the affecte area an dallow hearling ot occur.

Front 8

in the diabetic foot what arethe comon signs of infeciton typically seen?

Back 8

due to the diabetes, signs of local infection are often subtle and may not manifest until sever infection. Hyperglycemia and flu-like symptoms may be th eonly warnign signs

Front 9

What is the ultimate goal in the management of the diabetic foot?

Back 9

prevention of ulceration or recurrent ulceration, whic increases the patient's susceptibilit to infection.

Front 10

What are the steps to preventing infection in the diabetic foot?

Back 10

regular foot inspection with an emphasis on proper foot hygiene

Daily sho inspection icluding the changing of shoes after severa hours to prevent reptive pressure to a focal area

adequate control fo the blood sugars, cessatio of smoking, exercise, and periodic physician exmination will assist in the avoidance of infection

Front 11

WName common organisms seen in dia beti c foot infections

Back 11

Saphylocoocus aureus
Staphlyococus epidermids
sterptococcus
enerococcus
Escherichia cli
proteus species
bacteroides psecies
peptococcus
peptosterptococcus
clostridum

Front 12

When teratign a diabetic foot infeciton with oral antibiotics, what must one consider/

Back 12

diabetic gastropathy whic may alter the absorpiton of any oral medication. thus the antibiotic serum levels may be less than adequate for eeradication.

Front 13

What is the initial treatment of a limb or life-threaening diabetic foot infection?

Back 13

Early incision and drainage with debridemnt of all necrotic soft tissue and bond.

Front 14

What is the intial treatment of alimb or life-trhatenign diabetic foot infection?

Back 14

Early incision and drainage with debridment of all necrotic soft tisue and bone.

Front 15

What is the inditial teratment of anon-limb or life=-threaniing diabetic foot infectoin?

Back 15

EArly incision and drainage with debridement of all ncrotic softe tissue and bone.

Front 16

What is the inital tretment of an on-limbthreating diabetic foot infection?

Back 16

Pending a through examioation n of htediabetic foot, one's clincial judgement will determine whenther the wound is non-limb-threatenign verss limb/life threaenign. Provided the wound is deemed non=limb threatenign an antibiotic cours eo theraby can begin

Front 17

What is the most important resk factor for ulceration it e diabetic foot? an dhow cn one slwo the prgression?

Back 17

neruopathy is the major factor inwhich glycemic control can slow its progression

Front 18

What is the mangaement of osteomyelitis inthe diabetic foot

Back 18

Upon diagnosis through radiographys, steril bone probes, bone scans, ct scans or MRI's the infect bone mus t be debrided or limited amputation. A two twon tree week ocours oef antibiotics will follow to elimiante any remaing soft issue infections.