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CASE STUDIES IN DIABETIC FOOT (hb)2014
Author: GOYAL
ISBN: 9789351523734
Year: 2014
Publisher: JAYPEE BROTHERS MEDICAL PUBLISHERS PVT LTD.
Category: DIABETES Untitled Document
Edition: 1
Format: Hard Cover
Language: English
Pages: 187
 ABOUT THE TITLE
The case studies described in this book will make it clear in the mind of the treating clinician that treating a diabetic foot is at times simple and at times difficult task with each patient having comorbidities to be taken care of managing diabetic foot is a teamwork which involves a diabetologist, general surgeon, plastic surgeon, a vascular surgeon, interventional radiologist, orthopedic surgeon, physician, podiatrist, orthotist, nursing staff and diabetic educators all play a crucial role in the successful management of diabetic foot.

Key Features; The diabetic foot is a major medical, social and economic problem worldwide. People with diabetes may develop a number of foot problems as a result of damage to nerves and blood vessels. These problems can easily lead to infection and ulceration, which increases a person’s risk of amputation. In India more than 1,00,000 lower limb amputations, due to diabetes, are performed each year and the figure may be much higher as we do not have an amputation registry. Going through these case studies will help the healthcare providers in better understanding of the complex nature of diabetic foot and help them in their day-to-day management of diabetic foot patients. This book almost covers various nature of diabetic foot from neuropathic to ischemic to infected and also Charcot’s foot. Cases where simple, cost-effective and easy-to-apply modalities have been used and simultaneously cases where aggressive multidisciplinary approach and advanced modalities were used to prevent amputations have been described.

Author: Ghanshyam Goyal MD
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 TABLE OF CONTENTS
Section 1: Diagnostic Tools 1–11
Chapter 1: Semmes-Weinstein monofilament 3
Chapter 2: Biothesiometer (VPT) 5
Chapter 3: Ankle brachial pressure index or ankle brachial index 7
Chapter 4: Infrared thermometer 9
Chapter 5: Transcutaneous oxygen pressure (TcPO2) 11
Section 2: Treatment Modalities 13–23 Chapter 6: Callus shaving 15
Chapter 7: Samadhan system of offloading 17
Chapter 8: Standard total contact cast (TCC) 19
Chapter 9: Negative pressure wound therapy (NPWT) or vacuum assisted closure (VAC) 22
Section 3: Neuropathic Unilateral Ulcers 25–72
Chapter 10: Great toe 28
• Case 1: Neuropathic great toe ulcer treated with total contact cast 28
• Case 2: Neuropathic great toe ulcer 30
• Case 3: Neuropathic great toe ulcer 31
• Case 4: Neuropathic great toe ulcer on amputed stump 32
• Case 5: Neuropathic great toe ulcer 34
• Case 6: Great toe ulcer due to increased plantar pressure 35
• Case 7: Neuropathic plantar surface great toe ulcer 36
• Case 8: Neuropathic plantar surface 1st metatarsal head ulcer 38
• Case 9: Neuropathic great toe ulcer with foot deformity 39
• Case 10: Neuropathic great toe ulcer 41
• Case 11: Osteomyelitis—surgical management 43
Chapter 11: Metatarsal head 44
• Case 1: Neuropathic 3rd metatarsal head ulcer 44
Chapter 12: Midfoot 46
• Case 1: Neuropathic midfoot ulcer 46
• Case 2: Neuropathic midfoot ulcer 48
• Case 3: Neuropathic ulcer 50
Chapter 13: Heel 52
• Case 1: Neuropathic ulcer in heel 52
• Case 2: Neuropathic heel ulcer 54
• Case 3: Neuropathic heel ulcer treated with total contact cast 56
• Case 4: Neuropathic heel ulcer treated with VAC and total contact cast 58
• Case 5: Neuropathic heel ulcer 60
• Case 6: Neuropathic midfoot ulcer 63
• Case 7: Neuropathic ulcer in heel 65
Chapter 14: Other location 67
• Case 1: Rat bite 67
• Case 2: Neuropathic renal foot with toe deformity 69
• Case 3: Neuropathic ulcer on dorsum 72
Section 4: Neuropathic Bilateral Ulcers 73–92
Chapter 15: Great toe 75
• Case 1: Bilateral great toe ulcer 75
• Case 2: Neuropathic bilateral great toe ulcer 78
• Case 3: Neuropathic ulcer 80
Chapter 16: Metatarsal head 82
• Case 1: Neuropathic bilateral plantar surface ulcers on 1st metatarsal head 82
• Case 2: Neuropathic bilateral 1st metatarsal head ulcer 85
• Case 3: Neuropathic bilateral ulcer due to raised plantar pressure 87
Chapter 17: Heel 89
• Case 1: Hurricane burn 89
Chapter 18: Other location 90
• Case 2: Bilateral leg and foot ulcers 90
Section 5: Ischemic Cases 93–115
Chapter 19: Intervention (PTA/pedal bypass) or conservative management 96
• Case 1: Ischemic infected foot 96
• Case 2: Neuroischemic ulcer 99
• Case 3: Ischemic ulcer due to application of compression bandage 102
• Case 4: Ischemic tendo-Achilles ulcer 104
• Case 5: Ischemic ulcer 106
• Case 6: Ischemic case 109
• Case 7: Tram car injury 111
• Case 8: Ischemic case 113
Section 6: Osteomyelitis 117–125
Chapter 20: Medical management of osteomyelitis 119
• Case 1: Great toe ulcer with osteomyelitis 119
• Case 2: Bilateral neuropathic great toe ulcers with osteomyelitis 121
Chapter 21: Surgical management of osteomyelitis 124
• Case 1: Neuropathic ulcer with osteomyelitis 124
Section 7: Charcot’s Foot 127–149
Chapter 22: Unilateral, bilateral, and Charcot’s foot in renal diseases (CKD) 130
• Case 1: Charcot’s foot 130
• Case 2: Charcot’s foot 133
• Case 3: Bilateral Charcot’s foot with midfoot ulcer in left 135
• Case 4: Management of Charcot’s foot 137
• Case 5: Charcot’s foot 140
• Case 6: Management of Charcot’s foot in stage IV CKD 143
• Case 7: Charcot’s foot with midfoot deformity 145
• Case 8: Charcot’s joint 148
Section 8: Infected Diabetic Foot 151–176
Chapter 23: Mild, moderate, and severe infections 154
• Case 1: Neuropathic ulcer 154
• Case 2: Neuropathic ulcer on dorsum of foot 156
• Case 3: Thermal injury in a patient with diabetic peripheral neuropathy 158
• Case 4: Infected neuropathic foot 160
• Case 5: Neuropathic infected foot 162
• Case 6: Severe diabetic foot infection 164
• Case 7: DFI—limb-threatening 166
• Case 8: Ischemic infected foot 168
• Case 9: DFI—limb to life-threatening 169
• Case 10: Severe infection 171
• Case 11: Multidisciplinary management of a complicated infected diabetic foot 173
• Case 12: Ulcer after hot compression 175
Section 9: Renal Foot 177–182
Chapter 24: Neuropathic renal foot 179
• Case 1: Neuropathic renal foot 179
• Case 2: Diabetic renal foot 181
Bibliography 183–184
Index 185–187
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