Friday, January 22, 2010

How early detection of diabetic foot?

Patients with diabetes mellitus complicated with lower limb and foot symptoms, such as foot pain, numbness, intermittent claudication, skin temperature changes, edema, and necrosis of the foot and other symptoms, can be

regarded as a "diabetic foot" areas. Early detection, early detection of diabetic foot can be, for the treatment and care have an important role.

Neuropathy examination: take off their shoes, carefully check the foot, including the pressure and protruding position (heel, metatarsal head), between the toes and feet and legs of the arterial pulse. The use of different

diameters of fine nylon filament to check the sense of touch, the lack of tactile foot ulcers in patients with a great possibility. Check whether the foreign body inside the shoe, from which we can see whether your foot pressure

abnormalities or other problems. Obviously abnormal X-ray examination should be carried out.

Ischemic lesion check: When you appear pale or purple foot, rest pain, sometimes accompanied by abnormal perception of acupuncture, the skin often hair cool, there are changes, such as malnutrition, lack of vellus hair and nail

atrophy, dorsalis pedis artery and even leg arterial pulse weakened or disappeared. At this point should be further for lower limb and foot Doppler ultrasound of the arteries, measured ankle-brachial index. If you suspect a serious

ischemic or non-traumatic examination revealed abnormal, angiography should be performed.

Diabetic foot ulcer with infection in check: local infection can have redness, swelling, pain and tenderness, but these may be obvious or even non-existent, especially those with neuropathic foot lesions. The more obvious

manifestations of infection as purulent effusion, crepitus, or deep sinus. Probe can be used to check and to take samples for bacterial culture, you can also shoot X-ray film.