PRESENTED BY

THAVAMANI KANDASAMY

NEUROPATHY PERIPHERAL ARTERIAL DISEASE ABNORMAL FOOT BIOMECHANICS DELAYED WOUND HEALING

30 TIMES MORE PREVALENT IN DIABETESDIABETICS GET ARTERIOSCLEROSISCALCIFICATION OF THE MEDIAOFTEN INCREASED BLOOD FLOW WITH LACK OF ELASTIC PROPERTIES OF THE ARTERIOLESNOT A PRIMARY CAUSE OF FOOT ULCER

ABNORMAL WEIGHT BEARING FIXED FOOT DEFORMITIES HAMMER TOE CLAW TOE PROMINENT METATARSAL HEADS CHARCOT’S JOINTS

DOEST NOT ALLOW RESOLUTION OF FISSURES AND MINOR INJURIES

INCREASED CHANCE OF INFECTION

HISTORY COLLECTION DIABETES DURATION GLYCEMIC MANAGEMENT CONTROL CARDIOVASCULAR,RENAL,&OPTHALMIC

EVALUATION NUTRITIONAL STATUS SOCIAL HABITS LIKE

ALCOHOL,TOBACCO,DRUGS PREVIOUS HOSPITALIZATION/SURGERY WOUND STATUS

FBS,PPBS,HbA1C COMPLETE BLOOD COUNT,ESR RENAL FUNCTION TEST URINE ANALYSIS WOUND & BLOOD CULTURE X-RAY DOPPLER STUDY CT ANGIOGRAPHY

STAGE 2

STAGE 5

IDENTIFICATION OF HIGH RISK PATIENT PATIENTS EDUCATION CAREFUL SELECTION OF FOOT WEAR DAILY INSPECTION OF FEET DAILY FOOT HYGIENE,MOIST & CLEAN AVOIDANCE OF SELF TREAMENT OF FOOT

ABNORMALITIES&HIGH RISK BEHAVIOUR PROMPT CONSULTATION WITH HEALTH

CARE PROVIDER

ORTHOTIC SHOES& DEVICES CALLUS MANAGEMENT NAIL CARE PROPPER DRESSING ATTENTION TO HIGH RISK FACTORS SMOKING,HTN,DYSLIPIDEMIA GLYCEMIC CONTROL

DEBRIDEMENT

WOUND DRESSING

ANTIBIOTICS

REVASCULARIZATION

AMPUTATION

GAUZE PADS TRANSPARENT FLIMS HYDROGELS FOAM HYDRO COLLOID ALIGINATE COLLAGEN DRESSING ANTI MICROBIAL DRESSING

SALINE POVIDONE IODINE CHLORHEXIDINE HYPOCHLORITE BACITRACIN,NEOMYCIN MUPIROCIN