What is a Diabetic/Neuropathic Ulcer?
- Generally appear on the plantar surface of the foot, over the heels, and over the metatarsal heads
- Dry, warm, cracked, fissured skin, thickened nails
- Usually no edema is present
- Minimal to no exudate
- Wound margins are round with occasional periwound calluses
- Caused by pressure, secondary to peripheral neuropathy or arterial insufficiency and Poor microvascular circulation, inadequate blood glucose control, and/or lack of sensation
What are the risk factors involved?
- Increased risk for osteomyelitis
- Renal disease
- Vascular insuffienciency
- Poor glycemic control
- History of amputation
- Limited joint mobility
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Clinical Pearls:
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