Diabetic Foot – Managing long term conditions and promoting patient self-care

FRCEM EXAM QuestionsCategory: March 2018Diabetic Foot – Managing long term conditions and promoting patient self-care
FRCEM Intermediate Staff asked 2 years ago

65 year-old-male-patient with chronic diabetes, presented with a picture of diabetic foot ulcer (HBA1C 11%)

A. Give (4) ED management? (2marks)
B. Who (2) should be involved in management for this patient? (1mark)

1 Answers
FRCEM Intermediate Staff answered 2 years ago

A.

1.Thorough wound, vascular, peripheral sensory assessments.
2.Diabetes control/Glycemic control – review her regular medications
3.Nonadherent dressing to wound
4.FBC,UE,VBG,Glucose – Rule out acute infections / X-ray to r/o osteomyelitis
4.ReferĀ for i/v antibiotics /Debridement

B.
1.Podiatry.
2.Diabetes specialist nursing.
3.District nurses.
3.Vascular surgery.