Diabetic Foot Care: Case Studies in Clinical Managementuses an illustrated patient case study format to demonstrate the multidisciplinary care and clinical management of patients with feet and lower limb problems as a result of diabetes. Every case has colour illustrations highlighting both the initial presentation of the foot, right through to treatment and long term follow-up care. Of particular focus are the management problems, barriers to effective care, preventable mistakes, unnecessary delays in presentations, challenging situations, conflicts, dilemmas and solutions that podiatrists and diabetic specialists face.

Sections in the book include: Neuropathic and neuroischaemic foot, neuropathic ulcers, ischaemic ulcers, infections, gangrene, traumatic injuries, Charcots osteoarthropathy, dermatological problems associated with diabetes, painful neuropathy, diabetic foot emergencies, angiology and foot surgery/amputation. With key points and summaries at the beginning and end of each section, this book is clear and easy to navigate, making it an ideal tool for diabetes specialists, diabetes nurses and podiatrists.

Titles of Related Interest

Practical Manual of
Diabetic Foot Care 2E

The Foot in Diabetes 4E
Boulton.
978-0-470-01504-9

Handbook of Diabetes 4E
Bilous.
978-1-4051-8409-0

Dr Michael Edmonds, Consultant Physician, The Diabetic Foot Clinic, King's College. Mike is a leading Consultant on the foot, with national and international recognition. He has written many books and journal articles.

Acknowledgements ix

Introduction xi

1 Neuropathic Case Studies 1

1.1 Introduction 1

1.2 Differing presentations of infection and complications of infection 3

1.3 Co-morbidities in addition to diabetes and neuropathy 36

1.4 Deformity, ulceration and infection treated by surgical debridement and reconstruction 40

1.5 Patients with neuropathic feet in whom psychological factors have impacted on their management 48

1.6 Long term patients followed in the Diabetic Foot Clinic with neuropathic foot problems 57

2 Ischaemic Case Studies 83

2.1 Introduction 83

2.2 Infection and its presentations 86

2.3 Patients with severe co-morbidities 92

2.4 Revascularisation 105

2.5 Wound care 135

2.6 Emboli 140

2.7 Complications 144

2.8 Pain in the neuroischaemic foot 151

2.9 Conservative care 153

3 Charcot Case Studies 157

3.1 Introduction 157

3.2 Early diagnosis 160

3.3 Different presentations 172

3.4 Surgery 195

3.5 Conservative care 214

4 Renal Case Studies 217

4.1 Introduction 217

4.2 Patients with normal serum creatinine who develop low creatinine clearance with infection 219

4.3 Low creatinine clearance and complications 225

4.4 Continuous ambulatory peritoneal dialysis (CAPD) and complications 238

4.5 Haemodialysis and complications 246

4.6 Renal transplant and complications 250

4.7 Revascularisation in renal patients 255

Index 261