By Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders

3rd writer, Lee. J. Sanders, is the dept of Veterans Affairs scientific middle, Lebanon, PA. deals useful and scientific recommendation at the administration of long term foot difficulties in individuals with diabetes. Discusses prognosis and remedy, either scientific and surgical. fine quality colour images illustrated a number of the problems. DNLM: Diabetic Foot--diagnosis.

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Extra resources for A Practical Manual of Diabetic Foot Care

Sample text

11 Vesicular tinea pedis. Stage 1: the normal foot 25 Fig. 12 Verruca. used for 1 week. Three weeks later the problem recurred. She was advised to continue using the Whitfield's ointment until 2 weeks after the symptoms had resolved, and then to apply surgical spirit to the previously affected areas after washing them daily and drying them carefully. She was also advised to wear clean socks every day and dust her feet and interdigital areas with Mycil powder. The problem did not recur. Key points • Treatment of fungal infections should be continued for 2 weeks after symptoms have resolved • Prophylaxis with Mycil may be necessary to prevent recurrence.

Dermatitis/eczema Dermatitis is an inflammatory skin disease caused by different factors. Eczema and dermatitis are essentially interchangeable terms. Acute dermatitis presents as redness and scaling with vesiculation. Chronic dermatitis is recognized by thickening of the skin and excoriation. Dry, fissured, scaly lesions are treated with bland emollients. Contact dermatitis, in which there is a hypersensitivity reaction to specific allergens, is a notable manifestation of dermatitis of the feet.

Reception staff should be familiar with signs and symptoms of hypoglycaemia and call a health-care professional if they suspect hypoglycaemia. 5 mmol/L (63 mg/dL) • If very drowsy give 75 mL of 20% glucose intravenously into a large vein through a large-gauge needle or give 1 mg glucagon intramuscularly • Patient should not be left alone • Check blood glucose again before they go home. If the patient has become hypoglycaemic from sulphonylurea therapy he should be admitted for at least 24 h and may need intravenous glucose therapy (5-20% as required) • Give advice on hypoglycaemia prevention.

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