Diabetic Foot Ulcers Questions & Answers

Updated: Oct 15, 2020
  • Author: Tanzim Khan, DPM; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Questions & Answers

Overview

What are diabetic foot ulcers?

What is the pathophysiology of diabetic foot ulcers?

What is the pathophysiology of diabetes-related atherosclerosis?

What is the pathophysiology of diabetic peripheral neuropathy?

What causes diabetic foot ulcers?

What causes Charcot foot?

What is the prevalence of diabetic foot ulcers?

What is the mortality and morbidity of diabetic foot ulcers?

Which age groups have the highest prevalence of diabetic foot ulcers?

What are the racial predilections of diabetic foot ulcers?

What is the prognosis for diabetic foot ulcers?

What is included in patient education about diabetic foot ulcers?

Presentation

What is the focus of the clinical history to evaluate diabetic foot ulcers?

What are the signs and symptoms of diabetic peripheral neuropathy?

What are the signs and symptoms of diabetes-related atherosclerosis?

What is the focus of the physical examination of diabetic foot ulcers?

How is ulceration examined in the evaluation of diabetic foot ulcers?

What is included in the physical examination of diabetic foot ulcers?

Which physical findings are characteristic of diabetes-related atherosclerosis?

Which physical findings are characteristic of diabetic peripheral neuropathy?

DDX

Which conditions are included in the differential diagnoses of diabetic foot ulcers?

What are the differential diagnoses for Diabetic Foot Ulcers?

Workup

What is included in the workup for diabetic foot ulcers?

What are the IWGDF guidelines on the assessment of diabetic foot ulcers?

What is the role of blood tests in the workup for diabetic foot ulcers?

What is the role of plain radiographs in the workup of diabetic foot ulcers?

What is the role of CT scans in the workup of diabetic foot ulcers?

What is the role of MRI in the workup of diabetic foot ulcers?

What is the role of bone scans in the workup of diabetic foot ulcers?

What is the role of the ankle-brachial index in the workup of diabetic foot ulcers?

What is the role of PVR in the workup of diabetic foot ulcers?

What is the role of ultrasonography in the workup of diabetic foot ulcers?

What is the role of transcutaneous tissue oxygen studies in the workup of diabetic foot ulcers?

What is the role of angiography in the workup of diabetic foot ulcers?

How is angiography performed in the workup of diabetic foot ulcers?

What are the possible complications of angiography catheter insertion for the workup of diabetic foot ulcers?

What are the possible complications of angiography contrast material used in the workup of diabetic foot ulcers?

What are the risks of taking metformin (Glucophage) following contrast angiography for the workup of diabetic foot ulcers?

What is the role of MRA in the workup of diabetic foot ulcers?

What is the role of MDCT in the workup of diabetic foot ulcers?

What is the role of carbon dioxide angiography in the workup of diabetic foot ulcers?

How are diabetic foot ulcers staged?

What is the role of wound cultures in the treatment of diabetic foot ulcers?

What is the role of bone probes in the workup of diabetic foot ulcers?

What is the role of bone biopsy in the workup of diabetic foot ulcers?

What is the role of skin biopsy in the workup of diabetic foot ulcers?

Treatment

How are diabetic foot ulcers treated?

What are the IWGDF guidelines on pressure offloading in the treatment of diabetic foot ulcers?

What are the IWGDF guidelines on the restoration of tissue perfusion in the treatment of diabetic foot ulcers?

What are the IWGDF guidelines on infection control in the treatment of diabetic foot ulcers?

What are the IWGDF guidelines on local care of diabetic foot ulcers?

What is the role of systemic factors in the treatment of diabetic foot ulcers?

What is included in topical wound care for diabetic foot ulcers?

How are wounds managed in patients with diabetic foot ulcers?

What is the role of occlusive wound dressing in the treatment of diabetic foot ulcers?

What is the role of hydrotherapy in the treatment of diabetic foot ulcers?

What is the role of ESWT in the treatment of diabetic foot ulcers?

How is Charcot foot treated?

What is the role of surgery in the treatment of diabetic foot ulcers?

What is the role of debridement in the treatment of diabetic foot ulcers?

When is reconstructive foot and ankle surgery indicated in the treatment of diabetic foot ulcers?

What is the role of vascular surgery in the treatment of diabetic foot ulcers?

What is the role of surgery in wound healing of diabetic foot ulcers?

What is the role of skin grafts in the treatment of diabetic foot ulcers?

What is the role of skin substitutes in the treatment of diabetic foot ulcers?

What is the role of xenografts in the treatment of diabetic skin ulcers?

What is the role of skin flaps in the treatment of diabetic foot ulcers?

What is the role of hyperbaric oxygen therapy in the treatment of diabetic foot ulcers?

Which dietary changes are used in the treatment of diabetic foot ulcers?

Which activity changes are used in the treatment of diabetic foot ulcers?

How are diabetic foot ulcers prevented?

What is the role of glycemic control in the prevention of diabetic foot ulcers?

Which specialist consultations may be beneficial to patients with diabetic foot ulcers?

What is included in the long-term monitoring of patients with diabetic foot ulcers?

Guidelines

What are the IWGDF guidelines on the prevention and management of diabetic foot ulcers?

Medications

What is the role of medications in the treatment of diabetic foot ulcers?

Which medications in the drug class Wound Healing Agents are used in the treatment of Diabetic Foot Ulcers?

Which medications in the drug class Antiplatelet agents are used in the treatment of Diabetic Foot Ulcers?

Which medications in the drug class Hemorrheologic Agents are used in the treatment of Diabetic Foot Ulcers?