Study of Neuropathic Wounds in Diabetes: Key Terms and Definitions

vascular disease is BLANKx more prevalent in diabetics

30x more

symptoms of neuropathy

loss of feeling

hypersensitivity

freezing

sharp, jobbing pain

burning sensation

numbness tingling

autonomic neuropathy

regulates sweating a perfusion of limb

results in dry, scaly, and stiff skin that is prone to cracking

motor neuropathy

results in foot deformities

intrinisic muscle wasting

cause of hammertoes

equinous contractures

charcot foot deformity

uncontrolled inflammation of the foot as a result of diabetes leads to varying degrees of bone destruction, subluxation, dislocation, deformity

rocker-bottom foot-midfoot collapse

semmes weinstein monofilament test

5.07-10 g monofilament

when it bends into a C, document whether they felt it or not

location of neuropathic wounds

plantar foot and toes

diabetic v arterial wound

arterial- black, necrotic

diabetic ulcers- not

normal blood glucose

70-110 mg/dL

greater >200-wound healing impaired

Glucosylated Hemoglobin (HbdA1c)

avg blood glucose over 2-3 month period

normal is 4-5.6%

gold standard for diabetic wound care

total contact casting

reduces pressure my approx 50% at the heel and 70-80% at forefoot

contraindication for total contact casting

infection