足病医师
医学
糖尿病
糖尿病足
脚(韵律)
截肢
重症监护医学
周围神经病变
疾病
足病学
糖尿病足溃疡
血管疾病
体格检查
病史
物理疗法
外科
内科学
并发症
替代医学
病理
哲学
内分泌学
语言学
作者
Rebecca Reardon,Dominic Simring,Boyoung Kim,James K. Mortensen,Deepak Williams,Anthony Leslie
出处
期刊:AJGP
[The Royal Australian College of General Practitioners]
日期:2020-05-01
卷期号:49 (5): 250-255
被引量:38
标识
DOI:10.31128/ajgp-11-19-5161
摘要
Diabetic foot ulcers are associated with significant morbidity and mortality and can subsequently lead to hospitalisation and lower limb amputation if not recognised and treated in a timely manner.The aim of this article is to review the current evidence for preventing and managing diabetic foot ulcers, with the aim to increase clinicians' confidence in assessing and treating these complex medical presentations.All patients with diabetes should have an annual foot review by a general practitioner or podiatrist. A three-monthly foot review is recommended for any patient with a history of a diabetic foot infection. Assessment involves identification of risk factors including peripheral neuropathy and peripheral vascular disease, and examination of ulceration if present. It is essential to identify patients with diabetes who are 'at risk' of ulceration, assess for any early signs of skin breakdown, initiate appropriate management to prevent progression and refer the patient if indicated.
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