diabetic foot

Headline
History Is the patient septic?
- How long the ulcer has been a problem
- Treatment so far, including antibiotics
- Wound swabs and MCS results if known
- Presence of pain
- Systemic features
- Smoking status
- Glycaemic control
- Compliance with treatment
- Look for previous culture results, if available
Examination TAKE THE BANDAGES OFF - examine wound
→ often punched out lesions on lateral aspect of foot
peripheral pulses
Diagnostic investigations clinical o/e is more important than wound swab
Differentials
Immediate management
Ongoing management

#endocrine #vascular #incomplete

Diabetes mellitus, Diabetes mellitus diagnostic criteria, Oral antidiabetic drugs

a pretty good infographic: https://www.bmj.com/content/359/bmj.j5064/infographic-0
https://www.rcemlearning.co.uk/foamed/the-diabetic-foot/