By Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders
3rd writer, Lee. J. Sanders, is the dept of Veterans Affairs scientific heart, Lebanon, PA. bargains functional and medical recommendation at the administration of long term foot difficulties in individuals with diabetes. Discusses prognosis and remedy, either scientific and surgical. fine quality colour pictures illustrated some of the issues. DNLM: Diabetic Foot--diagnosis.
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Additional resources for A Practical Manual of Diabetic Foot Care
Within a few days she developed a cutaneous erosion which failed to heal for 9 months and became increasingly painful (Fig. 13a,b). Diabetes was diagnosed by her Fig. 13 (a) Ulcer following application of a proprietary wart remedy which proved to be a squamous cell carcinoma, (b) Close-up of lesion. Stage 1: the normal foot 27 general practitioner and she was referred to the diabetic foot clinic. She was referred on to the dermatologist because her plantar ulcer was unusually painful. The ulcer was biopsied and proved to be a squamous cell carcinoma.
And can spread to draining lymph nodes. Suspicious lesions should be biopsied. Treatment is surgical excision. Chilblains (perniosis) These are localized inflammatory lesions, provoked by cold and injudicious reheating. Chilblains are frequently found on the toes. Initially they are white due to vasoconstriction, but usually present as dusky red swellings which are intensely pruritic in the acute stages. When they become chronic they present as purplish lesions. They are best managed by taking preventive measures.
Nail problems Cutting nails may present problems. 1). They should be taught the correct techniques for cutting normal nails as follows: • Nails should be cut straight across or in a gentle curve • The corners should not be cut out • The nail plate should not be cut in one piece: a gentle 'nibbling' technique should be used • The nail should not be cut so short that the seal between nail and nail bed is broken • The nails should not be left so long that they can catch on the socks, risking trauma • The nails should be cut regularly • The nails should be cut after the bath, when the nail plate will be softer and more flexible and easy to cut • If nail cutting is difficult or painful, patients should seek professional help.