Infection in diabetic foot is limb threatening Signs of infection may be absent in diabetic pt. with foot ulcer Superficial infection is usually caused by gram +ve cocci, deep infection is poly microbial
Surgical debridment is essential in acute deep infection Osteomylitis( diagnoses & treatment) Neuro-osteoarthropathy
Non- infective pathology Should be suspected in any swollen hot erythematous foot Differentiation from infection is
important to prevent misdiagnosis & possible amputation Treatment should aim at preventing severe deformity Diabetic Foot Ulcer Treatment
Multidisciplenary approach Staging dictate the treatment option Continuity of care & life long
observation Amputation in Diabetic Patient Increased minor\major amputation
increased the no. of deformed feet Minor amputation is needed : *Gangrene *As part of debriment *for correction of foot deformities Minor
amputation doesnt significantly compromise walking ability Major Amputation
Risk of loss walking ability
Mortality Risk of contra-lateral amputation Strict indication Careful choice of the level How To Prevent Foot Problems
5 corner stones Regular inspection & examination of foot & foot wear Identification of high risk patient
Education of patient, family & health care providers Appropriate foot wear Treatment of non ulcerative pathology SENSORY NEUROPATHY
Diabetic Neuropathy PERIPHRAL VASCULAR DISEASE Biomechanics of foot wearAREAS AT
SCHEMA ACTIVATION. Prepare students for tasks by activating background knowledge. Provide rich contextual information for tasks. Frontload vocabulary words (how much so depends on the task).--e.g. Specialized words that can't be figured out from context.
A priori (theoretical) - determined by knowledge of a process. Coin toss / roll die / draw a card. Empirical probability (experimental/observed) DO. something and . COUNT. successes. Subjective (personal)
Current ads are "Eat like your life depends on it" and Eat Smart in Parks work. Kim Buckman previously presented to MOCAN. Rhonda would like us to share our HSHC talking pts on childhood obesity and why we use language...
unto his place, into the Oracle of the House, to the Holy of Holies, even under the wings of the Cherubims. 7 For the Cherubims spread forth their two wings over the place of the Ark, and the Cherubims covered...
• Situations to be discussed should include the use of Doppler effect in radars and in medical physics, and its significance for the red-shift in the light spectra of receding galaxies ... Data booklet reference: ... A Doppler weather radar...
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Roll dough on a lightly floured surface, using too much flour creates hard cookies. Can be cut into different sizes and shapes. These cookies do not spread much, so only a small amount of space between cookies is needed between...
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