Diabetic foot case study ppt

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Many a time treatment of a diabetic foot ulcer is influenced by co-morbidities restricting the outcome and the application of multilevel therapies leading to poor results. Here is a presentation of a diabetic male 56 year old, who was presented with an ulcer above the right lateral malleolus with a duration of 12 weeks, non-healing along with co morbidities of cyanotic congenital heart disease with secondary polycythaemia, chronic kidney disease, retinopathy and hypertension, managed in a diabetic foot clinic without drugs. From second treatment day onwards wound started showing improvement. Ulcer surface area, ulcer depth and pain intensity started decreasing. After 27 sessions of infrared LED light for 30 minutes and pulsed electromagnetic field for 45 minutes complete healing of the wound occurred. This is known to increase microcirculation stimulate production of collagen, stimulate fibroblastic activity, increase lymphatic activity.
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Diabetic foot complications, including ulcers and infections, are a common and costly complication of diabetes mellitus. The majority of diabetic foot ulcers are caused by repetitive trauma sustained during activity on a structurally abnormal, insensate foot. Ulcers act as a portal of entry for bacterial infections. Initial evaluation and early management may be by primary care providers; however, there should be a low threshold to refer to an interdisciplinary diabetic foot care clinic or inpatient unit. This is particularly true if there is any loss of sensation or signs of peripheral artery disease. Leg amputation should be avoidable in the majority of cases and is rarely the first-choice option for ambulatory patients. The term "diabetic foot complications" encompasses the conditions of diabetic foot ulcer i.
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The patient is a 40 year old male with a past medical history of type 2 diabetes mellitus with significant neuropathy and hypertension with a past surgical history of right metatarsal osteomyelitis. He presents to hospital with fever, right ear pain, headache, two episodes of diarrhea and redness and blistering to the right 3 rd metatarsal. Upon examination he was noted to have a 1 cm ulceration on the right 3 rd toe on the dorsal aspect associated with redness and edema. He was therefore assessed as having diabetic foot ulcer with possible osteomyelitis for which blood cultures were performed.
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