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A Practical Manual of Diabetic Foot Care by Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders

By Michael E. Edmonds, Alethea V. M. Foster, Lee Sanders

3rd writer, Lee. J. Sanders, is the dep. of Veterans Affairs clinical heart, Lebanon, PA. deals sensible and scientific suggestion at the administration of long term foot difficulties in individuals with diabetes. Discusses prognosis and remedy, either scientific and surgical. fine quality colour pictures illustrated a few of the problems. DNLM: Diabetic Foot--diagnosis.

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Educational control Assal JP, Muhlhauser I, Pernet A et al. Patient education as the basis for diabetes care in clinical practice and research. Diabetokgia 1985; 28:602-13. Edmonds ME, Van Acker K, Foster AVM. Education and the diabetic foot. Diabetic Medicine 1996; 13: S61-4. Peter-Riesch B, Assal JP. Teaching diabetic foot care effectively. J Am Podiatr Med Assoc 1997; 87: 318-20. 3 stag2 e Stage : 2: the high-ri ean o more the heat o' th' sun. Golden lads and girls all must, As chimney sweepers, come to dust.

Any wound which breaks the skin should be carefully cleaned under a running tap or with saline solution. ) Liquid antiseptics should be diluted according to the manufacturer's instructions before applying them to a sore place. Never apply full-strength antiseptic to your foot: it will burn the flesh. Then tape or bandage a clean dressing over the wound. If the following occurs: • Wound does not heal within a few days • Foot becomes painful • Foot becomes swollen • Foot becomes red seek help from your health-care professional as your foot may be infected.

Collections of pus should be drained. A swab is sent for microscopy and culture, and appropriate systemic antibiotics prescribed. Chronic paronychia results in the periungual tissues appearing erythematous and oedematous. The infection extends to the nail plate which may develop yellowishgreen or yellowish-brown pigmentation. Chronic paronychia is frequently caused by infection with Candida albicans and the treatment is with terbinafine or itraconazole, as described above. The feet should be kept dry.

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