Diabetic Foot Kerala Treatment

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Presentation Description

Diabetic Foot Kerala

Comments

By: waelasad (7 month(s) ago)

only for diabetic patients

By: dramitjain (9 month(s) ago)

nice

Presentation Transcript

Diabetic foot : 

Diabetic foot Roy Varghese MS Dip NB FSVS (USA)

Definition : 

Definition Condition of the foot caused by the metabolic disease diabetes mellitus causing neuropathic and vascular problems

Types of DM foot : 

Types of DM foot Neuropathic Ischemic Neuroischemic

Aetiology : 

Aetiology Diabetes Mellitus is a metabolic disorder of carbohydrate metabolism due to lack of insulin or sensitivity

Causal effects : 

Causal effects Raised glucose levels Hyperlipidemia Accelarated atheroscleroses Hypertension Occlusive vascular disease Neuropathy Obesity

Clinical features : 

Clinical features Neuropathy Vascular disease Small muscle wasting-claw foot Loss of architecture of the foot Pressure points and ulcers

Treatment medical : 

Treatment medical Insulin OHA Hyperlipidemia Vasodilator Antithrombotic drugs Cardiac,cerebrovascular,renal evaluation

Surgical treatment vascular : 

Surgical treatment vascular Doppler –ABI Angiogram-CT,MRA,DSA Plasty,stenting,bypass,hybrid procedures

Vascular Procedures : 

Vascular Procedures Plasty Stent Atherectomy Endovascular grafts Surgical grafts (Veins,Grafts)

Distal Bypass : 

Distal Bypass

Neuropathic foot : 

Neuropathic foot Footwear Ulcer management Walking with proper footwear

Gangrene : 

Gangrene Local debridement Ray amputation amputation

Types of Vessel Involvement : 

Types of Vessel Involvement Macrovascular disease Microvascular disease

Pathology : 

Pathology Metabolic Inflammatory infective

Importance of ABI : 

Importance of ABI Failure to examine distal pulses

Foot wear : 

Foot wear