TY  - CHAP
M1  - Book, Section
TI  - Diabetic Foot Ulcers
A1  - Hamm, Rose
A1  - Carey, Joseph N.
PY  - 2021
T2  - Essential Elements of Wound Diagnosis
AB  - Diabetic  foot  ulcers  (DFUs)  typically  occur  on  the  weight-bearing  surface  of  the  foot  or  the  digits  as  a  result  of  sensory  neuropathy,  bony  abnormalities,  and/or  repeated  mechanical  forces  (shear,  friction,  or  direct  pressure).  Because  patients  with  diabetes  often  present  with  other  co-morbidities,  including  peripheral  arterial  disease  (PAD),  it  is  imperative  to  distinguish  DFUs  from  other  types  of  wounds  in  order  to  effectively  diagnose  and  treat.  A  thorough  vascular  examination  is  a  critical  part  of  managing  patients  with  DFUs,  and  if  pedal  pulses  are  diminished  or  absent,  timely  referral  to  a  vascular  specialist  is  warranted.  If  pedal  pulses  are  present,  DFUs  can  be  treated  with  standard  care  as  described  below.  However,  even  in  the  presence  of  palpable  pedal  pulses,  referral  to  a  vascular  specialist  should  be  considered  for  cases  in  which  a  wound  fails  to  progress  in  a  given  period  of  time,  or  if  the  patient  is  at  particularly  high  risk  for  amputation.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/23
UR  - accessphysiotherapy.mhmedical.com/content.aspx?aid=1179616097
ER  -