Diabetic foot resident survival guide: Difference between revisions
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==Diagnosis== | ==Diagnosis== | ||
Shown below is an algorithm summarizing the diagnosis of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines. | Shown below is an algorithm summarizing the diagnosis of <nowiki>[[disease name]]</nowiki> according the the [...] guidelines. | ||
{{familytree/start | {{familytree/start}} | ||
{{familytree | | | | A01 | {{familytree | | | | A01 | |A01=<div style="float: left; text-align: left; line-height: 150% ">'''Characterize the symptoms:''' <br> ❑ Onset (acute, chronic, recurrent) <br>❑ Easy bruising <br> ❑ [[Petechia]] <br> ❑ Rashes <br> ❑ Melena <br> ❑ [[Fever]]s <br> ❑ [[Bleeding]] <br> ❑ [[Headache]]s <br> ❑ [[Abdominal pain]] <br> ❑ Visual disturbances <br> ❑ [[Weight loss]] <br> ❑ Night sweats <br> ❑ Bone pain | ||
{{familytree | | | | |! | ---- | ||
{{familytree | | | | B01 | '''Obtain a detailed history:''' <br> ❑ Recent medications <br> ❑ Pregnancy <br> ❑ Family history <br> ❑ Malignancy <br> ❑ Recent [[infection]] <br> ❑ Recent vaccinations <br> ❑ Recent travels <br> ❑ Recent transfusions <br> ❑ Chronic alcohol use <br> ❑ Recent hospitalization <br> ❑ Recent organ transplantation <br> ❑ Recent valve replacement surgery <br> ❑ Dietary habits <br> ❑ Sexual history <br> ❑ Ingestion of quinine containing beverages</div>}} | ||
{{familytree | | | | {{familytree | | | | |!| | }} | ||
{{familytree | | C01 | | {{familytree | | | | B01 | |B01=<div style="float: left; text-align: left; line-height: 150% ">'''Examine the patient:''' <br> ❑ Bleeding location <br> ❑ Bleeding severity <br> ❑ [[Hepatomegaly]] <br> ❑ [[Splenomegaly]] <br> ❑ Mucocutaneous bleeding <br> ❑ Skeletal abnormalities <br> ❑ Joint or soft tissue bleeding <br> ❑ [[Rash]] <br> ❑ Generalized lymphadenopathy <br> ❑ Skin necrosis <br> ❑ Neurological exam</div>}} | ||
{{familytree | | | | |!| | }} | |||
{{familytree | | | | C01 | |C01= <div style="float: left; text-align: left; line-height: 150% "> '''Order tests:'''<br>❑ [[Peripheral blood smear]] <br> ❑ [[CBC]] and differential <br> ❑ [[Reticulocyte count]] <br> ❑ [[LDH]] <br> ❑ [[LFT]] <br> ❑ Renal function test <br> ❑ Clotting screen <br> | |||
:❑ [[PT]] <br> | |||
:❑ [[aPTT]] <br> | |||
:❑ [[Fibrinogen]] <br> | |||
:❑ [[Haptoglobin]] <br> | |||
:❑ [[D-dimer]] <br> | |||
❑ Request a hematology consult''' </div>}} | |||
==Treatment== | ==Treatment== | ||
Revision as of 22:37, 31 July 2020
| Resident Survival Guide |
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| Team |
| Guide |
| Page Template |
| Examine the Patient Template |
| Navigation Bar Template |
| Checklist |
| Topics |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ifrah Fatima, M.B.B.S[2]
Overview
This section provides a short and straight to the point overview of the disease or symptom. The first sentence of the overview must contain the name of the disease.
Causes
Life Threatening Causes
Life-threatening causes include conditions that may result in death or permanent disability within 24 hours if left untreated. Diabetic foot superseded with the following may result in sepsis and death. [1]
- Infected diabetic foot
- Osteomyelitis
Common Causes
- Poor glycemic control
- Peripheral neuropathy
- Peripheral arterial disease
- Peripheral ischemia
- Improper footwear
- Foot deformities including Charcot arthropathy [1] [2] [3]
Diagnosis
Shown below is an algorithm summarizing the diagnosis of [[disease name]] according the the [...] guidelines.
Treatment
Shown below is an algorithm summarizing the treatment of [[disease name]] according the the [...] guidelines.
Characterize the symptoms: ❑ Onset (acute, chronic, recurrent) ❑ Easy bruising ❑ Petechia ❑ Rashes ❑ Melena ❑ Fevers ❑ Bleeding ❑ Headaches ❑ Abdominal pain ❑ Visual disturbances ❑ Weight loss ❑ Night sweats ❑ Bone pain Obtain a detailed history: ❑ Recent medications ❑ Pregnancy ❑ Family history ❑ Malignancy ❑ Recent infection ❑ Recent vaccinations ❑ Recent travels ❑ Recent transfusions ❑ Chronic alcohol use ❑ Recent hospitalization ❑ Recent organ transplantation ❑ Recent valve replacement surgery ❑ Dietary habits ❑ Sexual history ❑ Ingestion of quinine containing beverages | |||||||||||||
Examine the patient: ❑ Bleeding location ❑ Bleeding severity ❑ Hepatomegaly ❑ Splenomegaly ❑ Mucocutaneous bleeding ❑ Skeletal abnormalities ❑ Joint or soft tissue bleeding ❑ Rash ❑ Generalized lymphadenopathy ❑ Skin necrosis ❑ Neurological exam | |||||||||||||
Order tests: ❑ Peripheral blood smear ❑ CBC and differential ❑ Reticulocyte count ❑ LDH ❑ LFT ❑ Renal function test ❑ Clotting screen
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Do's
- The content in this section is in bullet points.
Don'ts
- The content in this section is in bullet points.
References
- ↑ 1.0 1.1 Pendsey SP (2010). "Understanding diabetic foot". Int J Diabetes Dev Ctries. 30 (2): 75–9. doi:10.4103/0973-3930.62596. PMC 2878694. PMID 20535310.
- ↑ Mishra SC, Chhatbar KC, Kashikar A, Mehndiratta A (2017). "Diabetic foot". BMJ. 359: j5064. doi:10.1136/bmj.j5064. PMC 5688746. PMID 29146579.
- ↑ Rathur HM, Boulton AJ (2007). "The diabetic foot". Clin Dermatol. 25 (1): 109–20. doi:10.1016/j.clindermatol.2006.09.015. PMID 17276208.