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The diabetic foot
Peter J Watkins
Foot ulceration, sepsis,[url=http://parajumpersoutletitalia.albirank.net/][b]parajumpers outlet italia parajumpers Parka Piumini online shop abbigliamento[/b][/url], and amputation are known and feared by almost every person who has diabetes diagnosed. Yet these are potentially the most preventable of all diabetic complications by the simplest techniques of education and care. If lesions do occur,[url=http://duveticaoutlet.albirank.net/][b]http://duveticaoutlet.albirank.net/[/b][/url], the majority can be cured by immediate and energetic treatment,[url=http://monclerjacketsoutlet.albirank.net/][b]Moncler Outlet Online Store Moncler down jackets Moncler jackets on sale[/b][/url], for which good provision must be made.
Neuropathy and ischaemia are the principal disorders underlying foot problems. Whenever a patient presents with an active lesion,[url=http://merrellfootwearsizechart.webmium.com/][b]http://merrellfootwearsizechart.webmium.com/[/b][/url], it is essential to decide at an early stage whether the foot problem is:
Precipitating causes of foot ulceration and infection
Friction in ill fitting or new shoes
Untreated callus
Self treated callus
Foot injuries (for example,[url=http://giuseppezanottioutlets.webmium.com/][b]Giuseppe Zanotti shoes outlet sale[/b][/url], unnoticed trauma in shoes or when walking barefoot)
Burns (for example,[url=http://rogervivieroutlets.webmium.com/][b]Roger Vivier Flats Roger Vivier Sale[/b][/url], excessively hot bath,[url=http://woolrichdeutschland.gengfl.com/][b]http://woolrichdeutschland.gengfl.com/[/b][/url], hot water bottle,[url=http://kaufenmonclerjacken.albirank.net/][b]Moncler fabrikverkauf Moncler Herren Jacken Moncler Jacken Outlet Österreich[/b][/url], hot radiators,[url=http://monclerjacketsoutlet.albirank.net/][b]http://monclerjacketsoutlet.albirank.net/[/b][/url], hot sand on holiday)
Corn plaster
Nail infections (paronychia)
Artefactual (self inflicted foot lesions are rare; occasionally failure to heal is due to this cause)
Heel friction in patients confined to bed
Foot deformities (callus, clawed toes,[url=http://woolrichdeutschland.gengfl.com/][b]Woolrich Deutschland Woolrich Arctic Jacket Online Shop Damen and Herren outlet deutschland[/b][/url], bunions,[url=http://giuseppezanottioutlets.webmium.com/][b]Giuseppe Zanotti Sneakers outlet sale[/b][/url], pes cavus, hallux rigidus, hammer toe,[url=http://duveticaukoutlet.halod.com/][b]Duvetica Down Jackets For Men Store[/b][/url], Charcot's foot, deformities from previous trauma or surgery,[url=http://duveticaukoutlet.halod.com/][b]Duvetica UK[/b][/url], nail deformities, oedema)
Neuropathic with an intact circulation
Ischaemic with (usually) or without neuropathy (neuroischaemic foot), or
Critically ischaemic needing urgent attention,[url=http://woolrichjacket.webmium.com/][b]discount 2013 Woolrich Woolrich Jackets Woolrich® The Original Outdoor[/b][/url].
A combination of ulceration and sepsis in an ischaemic foot carries a higher risk of gangrene, and early arterial assessment and management are key to avoiding major amputation.
Men of low socioeconomic class are most prone to diabetic foot disorders,[url=http://woolrichswedense.gengfl.com/][b]http://woolrichswedense.gengfl.com/[/b][/url], and Asian patients least likely to get them. Many causes are avoidable.
Patients confined to bed must have their heels elevated to avoid heel blisters and sepsis. Such wounds need weeks or months of treatment and sometimes require …相关的主题文章：

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