Managing the Diabetic Foot

Description

Cover Title page Copyright page Contents Acknowledgements Preface Abbreviations 1: Introduction New Approach to the Diabetic Foot Modern Management of the Diabetic Foot Assessment Classification Staging Intervention Assessing the Diabetic Foot Neuropathy Ischaemia Deformity Callus Swelling Skin breakdown Infection Necrosis Integrated examination Classifying the Diabetic Foot The neuropathic foot The ischaemic foot Staging of the Diabetic Foot Intervention Multidisciplinary foot management 2: Managing Stage 1: the normal foot Presentation and Diagnosis Management Mechanical control Metabolic control Educational control 3: Managing Stage 2: the high-risk foot Presentation and Diagnosis Management Mechanical control Vascular control Metabolic control Educational control Painful Neuropathy Presentation Management 4: Managing Stage 3: the ulcerated foot Presentation and Diagnosis Neuropathic ulcer Neuroischaemic ulcer Management Mechanical control Wound control Microbiological control Vascular control Metabolic control Educational control Charcot Osteoarthropathy Early presentation of active Charcot osteoarthropathy Late presentation of active Charcot osteoarthropathy Treatment of active Charcot osteoarthropathy Surgical reconstruction of the unstable hindfoot Treatment of non-active Charcot osteoarthropathy Follow-up of patients with Charcot foot 5: Managing Stage 4: the infected foot Presentation and Diagnosis Presentation of infection Management Microbiological control Wound control Vascular control Mechanical control Metabolic control Educational control 6: Managing Stage 5: the necrotic foot Presentation and Diagnosis Wet necrosis Dry necrosis Management Wound control Microbiological control Vascular control Mechanical control Metabolic control Educational control 7: Managing Stage 6: the unsalvageable foot Presentation Major Amputation Preoperative care Perioperative care Postoperative care Rehabilitation Palliative care Appendix: Problems of differential diagnosis Further reading Index