By Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders
A pragmatic medical handbook for the prognosis, remedy - either clinical and surgical - and the long term care of foot difficulties in individuals with diabetes. The authors are world-renowned specialists during this topic they usually current the across the world known most sensible perform. The medical chapters are awarded in a based, colour-coded structure to permit effortless reference. The textual content additionally contains highlighted most sensible scientific perform guidance. every one bankruptcy is followed via top of the range, full-colour photos that supply first-class examples of the earliest proposing symptoms in addition to illustrating the step by step information on therapy. This ebook is a necessary handbook for each surgeon fascinated with the care of sufferers with diabetes.
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Extra info for A Practical Manual of Diabetic Foot Care, Second Edition
Repeated biopsies may be needed to establish the diagnosis. We have seen a number of patients where the first and even the second biopsy was regarded as clear of malignancy and only later biopsies were positive. Treatment is surgical excision. STAGE 1 Stage 1: the normal foot STAGE 1 34 Chapter 2 Basal cell carcinoma Although the most common skin tumour overall, it is very rare on feet, especially on the plantar surface, and even rarer as subungual ulcer. These are usually ulcerated lesions with raised ‘pearly’ margins.
Patients with specific problems will need the following referrals: Severe chronic ischaemia to diabetic foot clinic or vascular clinic within 1 week. Acute ischaemia to diabetic foot clinic or vascular clinic same day. Any neuropathic fracture/acute Charcot’s osteoarthropathy to diabetic foot clinic within 24 hours. Patients with history of Charcot’s osteoarthropathy are always best managed by the hospital team as problems frequently develop in other joints. Renal patients should also be seen by the hospital team.
CASE STUDY Verruca pedis A 28-year-old woman with type 1 diabetes of 14 years’ duration presented with multiple verrucae. The appearances were typical of warts (Fig. 14a–d). Although they were not painful she was concerned that she might infect her family. She was reassured that even without treatment the warts would almost certainly resolve within 2 years. She was advised not to walk with bare feet, to wear plastic sandals in the shower and to purchase verruca socks from the chemist for use when she went swimming with her children.