Diabetic Foot Care (eBook)

Alethea Foster, former Honarary Consultant Podiatrist, King's College Hospital Diabetic Foot Clinic. Ali, who has recently retired, was a nationally and internationally recognised leading podiatrist, and one of the first Consultant Podiatrists in the UK. She has authored many books and is on several journal editorial boards. In May 2003, Ali was the first podiatrist to be awarded the International Diabetic Foot Award, which is only awarded every four years to an indvidual who has played a pivotal role in developing diabetic foot care 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

"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." (Mpilibrary.blogspot.co.uk,
12 September 2014)
"Using a case study format, this volume for diabetes specialists,
nurses and podiatrists illustrates the multidisciplinary care and
clinical management of patients with foot and lower limb problems
that are a result of diabetes." (Booknews, 1 April 2011)

"...this book should be available to everyone involved in the
care of people with diabetes and foot disease, as a stimulus to
reflecting on one's own practice, learning from experts and (as the
authors state) improving the outcome of diabetic foot disease."
(Practical Diabetes International, 2011)