GENERAL SURGERY

Diabetic Foot Ulcers

May 13, 2017 by in GENERAL SURGERY Comments Off on Diabetic Foot Ulcers

Fig. 12.1 Mortality in diabetes patients with and without diabetic foot ulcers (DFU) Fig. 12.2 Mortality in diabetes patients with and without neuropathic diabetic foot ulcers (nDFU) Alarmingly, foot ulceration…

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Types of Ulcers of Lower Extremity

May 13, 2017 by in GENERAL SURGERY Comments Off on Types of Ulcers of Lower Extremity

Vascular Venous Arterial Mixed Neuropathic Diabetes Tabes Syringomyelia Metabolic Diabetes Gout Prolidase deficiency Hematological Sickle-cell diseases Cryoglobulinemia Trauma Pressure Injury Burns Tumors Squamous cell carcinoma Marjolin’s ulcer Basal cell carcinoma…

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Documentation of Ulcer

May 13, 2017 by in GENERAL SURGERY Comments Off on Documentation of Ulcer

Information to be documented  1. Date and time of assessment  2. Type of wound and underlying etiology  3. Factors that could delay wound healing  4. Location of wound  5. Duration…

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Amputation of the Lower Extremity

May 13, 2017 by in GENERAL SURGERY Comments Off on Amputation of the Lower Extremity

Fig. 27.1 Gangrene of multiple toes requiring amputation in diabetic foot ulcer Fig. 27.2 Gangrene of toes with infection and tissue necrosis 27.2.2 Ulcer with Atherosclerosis Ulcers develop in atherosclerosis…

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Clinical Anatomy of Lower Extremity

May 13, 2017 by in GENERAL SURGERY Comments Off on Clinical Anatomy of Lower Extremity

Fig. 5.1 Gluteal region Fig. 5.2 Nervous anatomy of lower limb The following structures emerge from the pelvis through greater sciatic foramen into the gluteal region: 1. Above the piriformis…

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Necrotizing Soft Tissue Infection

May 13, 2017 by in GENERAL SURGERY Comments Off on Necrotizing Soft Tissue Infection

Types of NF Etiology Organism(s) Clinical progress Mortality Type I (70–80 % cases) Polymicrobial/synergistic, often bowel flora derived Mixed anaerobes and aerobes More indolent, better prognosis, easier to recognize clinically…

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Microbiology of Ulcer

May 13, 2017 by in GENERAL SURGERY Comments Off on Microbiology of Ulcer

  B. Impaired healing of wound:   8.8 Infective Causes of Ulcer 8.8.1 Infectious Causes of Limb Ulcers Ulceration in the lower extremity may be due to infectious agents. Diverse…

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Arterial Ulcer

May 13, 2017 by in GENERAL SURGERY Comments Off on Arterial Ulcer

Arterial occlusion  Peripheral arterial disease (arteriosclerosis)  Diabetes  Arterial thrombosis ⁄ macrothromboembolism and microthromboembolism (fibrin, platelets)  Fat embolism (hypercholesterolemia, hyperlipidemia)  Detachment of cholesterol-containing plaques from aorta, aneurysm, or atrium (atrial fibrillation)…

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