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Table of Contents
Intro
Preface
Contents
Chapter 1: Foot Complications in Diabetes: The Problem
Background
The At-Risk Foot
Diabetic Foot Ulcers
Foot Complications and Amputation
Diabetic Foot Ulcers: The Economic Impact
The Solution
References
Further Reading
Chapter 2: Screening and Treatment of Early Complications in the Diabetic Foot
Introduction
Need for Foot Care Service
Podiatry Foot Risk Guidance
General Management Approach
At Low Risk
Moderate Risk
At High Risk
Ulcerated/Acute Foot Complication
Initial Presentation: Time is Tissue
Management of the Diabetic Foot
Diabetes Foot Protection Team
Appendix
References
Further Reading
Chapter 3: Emergency Management of the Acute Diabetic Foot: Foot Attack
Introduction
Initial Management
Initial Assessment
History
Examination
Investigations
Management
Surgery
Surgery
Revascularisation
Ongoing Care
Summary
References
Further Reading
Chapter 4: Managing Diabetes in Patients with Foot Complications
Introduction
Available Medications
Diabetes Foot and Diabetes Management
The Acute Presentation
Management of Hyperglycaemia
Recovering from Acute Diabetic Foot Disease
Post Hospital Discharge
Guidelines for Management
Summary
References
Suggested Reading
Chapter 5: Predicting Wound Healing in the Diabetic Foot: Measuring Tissue Perfusion
Introduction
Assessment of Tissue Perfusion
Assessing Tissue Perfusion After Revascularisation
Emerging Methods for Assessing Tissue Perfusion
The Role of Perfusion Assessments in the Classification of Diabetic Foot Ulcers
Conclusion
References
Chapter 6: Imaging the Patient with Foot Complications
Tissue Evaluation
Plain X-ray
Magnetic Resonance Imaging
Nuclear Medicine Scintigraphy
Computed Tomography
Ultrasound
Vascular Investigation
Grading Disease
Nephrotoxicity
Ultrasound
CT Angiography
MR Angiography
Digital Subtraction Angiography
References
Chapter 7: Diagnosis and Management of Diabetic Foot Infections
Step 1: Is it Infected? Definition and Challenges
Biological Markers
Step 2. Clinical Evaluation: What Is the Extent and Severity of DFI?
Severity Classification of DFI (+/'O' Which Indicates Osteomyelitis)
Assess the Risk to the Limb
Assess the Risk to Life
Debride and Probe the Wound
Step 3: Diagnostic Evaluation: Radiological and Microbiological Diagnosis
Radiological Evaluation
Microbiological Sampling and Aetiological Diagnosis
What Is the Most Evidence-Based Sample Type?
Step 4: What Are the Main Considerations in the Management of DFI
Appropriate Location of Management
Antibiotic Therapy
Surgery Versus Antibiotic Management Alone for Osteomyelitis and Skin and Soft Tissue Infections
Intravenous Versus Oral Therapy
Duration of Therapy
References
Preface
Contents
Chapter 1: Foot Complications in Diabetes: The Problem
Background
The At-Risk Foot
Diabetic Foot Ulcers
Foot Complications and Amputation
Diabetic Foot Ulcers: The Economic Impact
The Solution
References
Further Reading
Chapter 2: Screening and Treatment of Early Complications in the Diabetic Foot
Introduction
Need for Foot Care Service
Podiatry Foot Risk Guidance
General Management Approach
At Low Risk
Moderate Risk
At High Risk
Ulcerated/Acute Foot Complication
Initial Presentation: Time is Tissue
Management of the Diabetic Foot
Diabetes Foot Protection Team
Appendix
References
Further Reading
Chapter 3: Emergency Management of the Acute Diabetic Foot: Foot Attack
Introduction
Initial Management
Initial Assessment
History
Examination
Investigations
Management
Surgery
Surgery
Revascularisation
Ongoing Care
Summary
References
Further Reading
Chapter 4: Managing Diabetes in Patients with Foot Complications
Introduction
Available Medications
Diabetes Foot and Diabetes Management
The Acute Presentation
Management of Hyperglycaemia
Recovering from Acute Diabetic Foot Disease
Post Hospital Discharge
Guidelines for Management
Summary
References
Suggested Reading
Chapter 5: Predicting Wound Healing in the Diabetic Foot: Measuring Tissue Perfusion
Introduction
Assessment of Tissue Perfusion
Assessing Tissue Perfusion After Revascularisation
Emerging Methods for Assessing Tissue Perfusion
The Role of Perfusion Assessments in the Classification of Diabetic Foot Ulcers
Conclusion
References
Chapter 6: Imaging the Patient with Foot Complications
Tissue Evaluation
Plain X-ray
Magnetic Resonance Imaging
Nuclear Medicine Scintigraphy
Computed Tomography
Ultrasound
Vascular Investigation
Grading Disease
Nephrotoxicity
Ultrasound
CT Angiography
MR Angiography
Digital Subtraction Angiography
References
Chapter 7: Diagnosis and Management of Diabetic Foot Infections
Step 1: Is it Infected? Definition and Challenges
Biological Markers
Step 2. Clinical Evaluation: What Is the Extent and Severity of DFI?
Severity Classification of DFI (+/'O' Which Indicates Osteomyelitis)
Assess the Risk to the Limb
Assess the Risk to Life
Debride and Probe the Wound
Step 3: Diagnostic Evaluation: Radiological and Microbiological Diagnosis
Radiological Evaluation
Microbiological Sampling and Aetiological Diagnosis
What Is the Most Evidence-Based Sample Type?
Step 4: What Are the Main Considerations in the Management of DFI
Appropriate Location of Management
Antibiotic Therapy
Surgery Versus Antibiotic Management Alone for Osteomyelitis and Skin and Soft Tissue Infections
Intravenous Versus Oral Therapy
Duration of Therapy
References