By Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders
3rd writer, Lee. J. Sanders, is the dept of Veterans Affairs scientific heart, Lebanon, PA. deals useful and medical recommendation at the administration of long term foot difficulties in individuals with diabetes. Discusses analysis and remedy, either scientific and surgical. top of the range colour images illustrated a number of the issues. DNLM: Diabetic Foot--diagnosis.
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Extra resources for A Practical Manual of Diabetic Foot Care
She was also advised to wear clean socks every day and dust her feet and interdigital areas with Mycil powder. The problem did not recur. Key points • Treatment of fungal infections should be continued for 2 weeks after symptoms have resolved • Prophylaxis with Mycil may be necessary to prevent recurrence. Fissures Fissures are moist or dry cracks in epidermis at sites where skin is under tension. Deep fissures may involve dermis. Fissures can occur in dry skin, when the treatment is an emollient, such as E45 cream, olive oil or coco butter, or in wet skin, where an astringent or antiperspirant such as aluminium chloride is helpful.
Patients with none of these problems are classified as stage 1. However, the screening of stage 1 patients should be repeated at yearly intervals to ensure that patients who develop risk factors are restaged and offered treatment as appropriate. The aim of management is to ensure that: • Patients do not develop risk factors for diabetic foot ulceration • If risk factors do develop, they are detected early and patients placed in stage 2 • Common foot problems that can occur in the general population are efficiently treated and do not lead to tissue breakdown even in the absence of neuropathy and vascular disease.
4) A 73-year-old man with type 2 diabetes of 1 year's duration complained of deformity of his left first toe nail of many years' duration (he had dropped an ammunition box on it). He did not like the appearance of the nail and said that it wore holes in his socks. He was asked to attend the diabetic foot clinic at 3-monthly intervals and the thickened nail was reduced with scalpel and file. He had no further complaints. Key points • Cutting and thinning gryphotic nails can avoid surgery in patients who are prepared to attend regularly • Reduction of thickened nails improves the cosmetic appearance to near-normality.