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{| class="infobox" style="float:right;"
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| [[File:Siren.gif|30px|link=Diabetic foot resident survival guide]]|| <br> || <br>
| [[Diabetic foot resident survival guide|'''Resident'''<br>'''Survival'''<br>'''Guide''']]
|}
'''For patient information, click [[Diabetic foot (patient information)|here]]'''
{{Infobox_Disease |
  Name          = {{PAGENAME}} |
  Image          = extremities_dm_foot_infection.jpg|
  Caption        = Diabetic Foot Infection: Cellulitis and gangrene. <br> <small> (Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA) </small>|
}}
{{Diabetic foot}}
{{Diabetes mellitus }}
{{Diabetes mellitus }}
{{CMG}}; '''Associate Editor(s)-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh@perfuse.org]; {{CZ}}
{{CMG}}; [[Afsaneh Morteza|Afsaneh Morteza, MD-MPH]] [mailto:afsaneh.morteza@gmail.com] {{AE}} {{Anahita}} {{DG}}; [[Priyamvada Singh|Priyamvada Singh, M.B.B.S.]] [mailto:psingh13579@gmail.com]; {{CZ}}


==Overview==
{{SK}} Diabetic feet; Diabetic ulcer; Diabetic foot infection; Diabetic foot ulcer; Diabetic foot syndrome


1 in every 4 patients with [[diabetes]] develops complications. The pathogenesis of diabetics foot is due to two causes i.e. neuropathy and [[vasculopathy]]. Due to [[neuropathy]] the patient loses sensation whereas, vasculopathy causes poor blood supply to the foot region. Due to both these contributing factors, even a small trauma to the feet can give rise to ulcer or gangrene and may even require amputation. Thus, foot examination by a podiatrist or a doctor is recommended every year.
==[[Diabetic foot overview|Overview]]==


==Diabetic foot physical examination==
==[[Diabetic foot historical perspective|Historical Perspective]]==
===Inspection===
* Dilated veins
* Scar, Sinuses
* Shiny skin
* Hair distribution
* Areas of Pigmentation
* Areas of discolouration
* Varicose vein
* Ulcers
* Brittle or broken nail
* Fungal infection
===Palpation===
* Temperature (increase temperature- deep vein thrombosis, decrease temperature-ischemia)
* Tenderness (squeeze calf muscle and achilles tendon for tenderness)
* Pulsation- Dorsalis pedis
* Capillary filling time
* Ulcers in pressure areas like ball of great toe, base of fifth metatarsal, posterior aspect of heel
===Motor examination===
* Nutrition/Bulk
* Tone
* Power
* Reflexes
===Sensory===
* Vibration
* Joint position sense


==Video: Physical examination diabetes==
==[[Diabetic foot classification|Classification]]==


{{#ev:youtube|715j6zRZHaA}}
==[[Diabetic foot pathophysiology|Pathophysiology]]==


==[[Diabetic foot causes|Causes]]==


==Video: Diabetic foot care==
==[[Differentiating Diabetic foot from other diseases|Differentiating Diabetic foot from other Diseases]]==


{{#ev:youtube|DASvmFJeYX8}}
==[[Diabetic foot epidemiology and demographics|Epidemiology and Demographics]]==


==Image: Diabetic foot ulcer==
==[[Diabetic foot risk factors|Risk Factors]]==


[[Image:Diabetic foot ulcer.jpg|thumb|left|Diabetic foot ulcer]]
==[[Diabetic foot screening|Screening]]==
 
==[[Diabetic foot natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
 
==Diagnosis==
[[Diabetic foot history and symptoms|History and Symptoms]] | [[Diabetic foot physical examination|Physical Examination]] | [[Diabetic foot laboratory findings|Laboratory Findings]] | [[Diabetic foot electrocardiogram|Electrocardiogram]] | [[Diabetic foot x ray|X Ray]] | [[Diabetic foot CT|CT]] | [[Diabetic foot MRI|MRI]] | [[Diabetic foot echocardiography or ultrasound|Echocardiography or Ultrasound]] | [[Diabetic foot other imaging findings|Other Imaging Findings]] | [[Diabetic foot other diagnostic studies|Other Diagnostic Studies]]
 
==Treatment==
 
[[Diabetic foot comprehensive therapy|Comprehensive therapy]] | [[Diabetic foot medical therapy|Medical Therapy]] | [[Diabetic foot surgery|Surgery]] | [[Diabetic foot primary prevention|Primary Prevention]] | [[Diabetic foot secondary prevention|Secondary Prevention]] | [[Diabetic foot cost-effectiveness of therapy|Cost-Effectiveness of Therapy]] | [[Diabetic foot future or investigational therapies|Future or Investigational Therapies]]
 
==Case Studies==
[[Diabetic foot case study one|Case #1]]


==References==
{{reflist|2}}
{{WH}}  
{{WH}}  
{{WS}}
{{WS}}


[[Category:Disease]]
[[Category:Emergency medicine]]
[[Category:Medicine]]
[[Category:Endocrinology]]
[[Category:Endocrinology]]
[[Category:Mature chapter]]
[[Category:Diabetes]]
[[Category:Aging-associated diseases]]
[[Category:Medical conditions related to obesity]]
[[Category:Emergency medicine]]
[[Category:Primary care]]
[[Category:Emergency medicine patient information]]
[[Category:Overview complete]]
[[Category:For review]]

Latest revision as of 20:13, 30 November 2021
Resident
Survival
Guide

For patient information, click here

Diabetic foot
Diabetic Foot Infection: Cellulitis and gangrene.
(Image courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, CA)

Diabetic foot Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Diabetic foot from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Electrocardiogram

X Ray

CT

MRI

Echocardiography or Ultrasound

Other Imaging Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Surgery

Primary Prevention

Secondary Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Diabetic foot On the Web

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American Roentgen Ray Society Images of Diabetic foot

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US National Guidelines Clearinghouse

NICE Guidance

FDA on Diabetic foot

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Directions to Hospitals Treating Diabetic foot

Risk calculators and risk factors for Diabetic foot

Diabetes mellitus Main page

Patient Information

Type 1
Type 2

Overview

Classification

Diabetes mellitus type 1
Diabetes mellitus type 2
Gestational diabetes

Differential Diagnosis

Complications

Screening

Diagnosis

Prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Afsaneh Morteza, MD-MPH [2] Associate Editor(s)-in-Chief: Anahita Deylamsalehi, M.D.[3] Daniel A. Gerber, M.D. [4]; Priyamvada Singh, M.B.B.S. [5]; Cafer Zorkun, M.D., Ph.D. [6]

Synonyms and keywords: Diabetic feet; Diabetic ulcer; Diabetic foot infection; Diabetic foot ulcer; Diabetic foot syndrome

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Diabetic foot from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination | Laboratory Findings | Electrocardiogram | X Ray | CT | MRI | Echocardiography or Ultrasound | Other Imaging Findings | Other Diagnostic Studies

Treatment

Comprehensive therapy | Medical Therapy | Surgery | Primary Prevention | Secondary Prevention | Cost-Effectiveness of Therapy | Future or Investigational Therapies

Case Studies

Case #1

Template:WH Template:WS

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