Medicine an Surgery notes

Apr 24th, 2015
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DIABETIC (NEUROPATHIC) ULCERSUlceration is caused by several factors acting together, but particularly by neuropathathy. Peripheral neuropathy results in loss of the protective sensation of pain and in autonomic dysfunction, with sympathetic denervation, dry skin, and warm feet.Other important component causes of ulceration include peripheral vascular disease,callus, edema, and deformity. The triad of neuropathy, deformity, and trauma ispresent in almost two thirds of patients with foot ulcers.DiagnosisHistoryInformation relating to ulcer history shouldbe recorded in a structured format and mayinclude- year first ulcer occurred- site of ulcer and of any previous ulcers- number of previous episodes ofulceration- time to healing in previous episodes- time free of ulcers- past treatment methods(both successful and unsuccessful)- previous operations on venous system- previ

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