Diabetic foot dan Neuropati

Diabetic foot and NeurophatyAlief LeisyahDiabetic FootDefinition: Infection, ulceration or destruction of deep tissues associated with neurological abnormalities & various degrees of peripheral vascular diseases in the lower limb

(based on WHO definition)STAGES OF ULCER DEVELOPMENT

STAGES OF ULCER DEVELOPMENT

Classification - WagnerGrade 0 - Skin intact, no foot deformityGrade 1 - Superficial ulcerGrade 2 - Deep ulcerGrade 3 - Deep ulcer with infectionGrade 4 - Limited necrosisGrade 5 - Necrosis of the entire foot

Wagner grade 0Wagner grade 1

Wagner grade 2

Wagner grade 3

Wagner grade 4

Wagner grade 5

University of Texas gradingBased on wound ulcer depth and vascular statusHorizontal component:Stage A clean woundsStage B non-ischemic infectedStage C ischemic non-infectedStage D ischemic, infectedVertical component:Grade 0 pre- or postulcerative site that has healedGrade 1 superficial wound not involving tendon, capsule or boneGrade 2 wound penetrating to tendon or capsuleGrade 3 wound penetrating bone or joint

Rapid Screening for Diabetic Neuropathy Using 10 gram Semmes-Weinstein MonofilamentLoss of sensation over the distal plantar surface to the 10g monofilament is a significant and independent predictor of foot ulceration and lower-extremity amputation.

Riwayat Perjalanan Penyakit Pasien2 tahun SMRS3 minggu SMRS3 hari SMRS