Acknowledgements ix
Introduction xi
1 Neuropathic Case Studies 1
1.1 Introduction 1
1.2 Differing presentations of infection and complications of infection 3
1.3 Co-morbidities in addition to diabetes and neuropathy 36
1.4 Deformity, ulceration and infection treated by surgical debridement and reconstruction 40
1.5 Patients with neuropathic feet in whom psychological factors have impacted on their management 48
1.6 Long term patients followed in the Diabetic Foot Clinic with neuropathic foot problems 57
2 Ischaemic Case Studies 83
2.1 Introduction 83
2.2 Infection and its presentations 86
2.3 Patients with severe co-morbidities 92
2.4 Revascularisation 105
2.5 Wound care 135
2.6 Emboli 140
2.7 Complications 144
2.8 Pain in the neuroischaemic foot 151
2.9 Conservative care 153
3 Charcot Case Studies 157
3.1 Introduction 157
3.2 Early diagnosis 160
3.3 Different presentations 172
3.4 Surgery 195
3.5 Conservative care 214
4 Renal Case Studies 217
4.1 Introduction 217
4.2 Patients with normal serum creatinine who develop low creatinine clearance with infection 219
4.3 Low creatinine clearance and complications 225
4.4 Continuous ambulatory peritoneal dialysis (CAPD) and complications 238
4.5 Haemodialysis and complications 246
4.6 Renal transplant and complications 250
4.7 Revascularisation in renal patients 255
Index 261
Alethea Foster, former Honarary Consultant Podiatrist,King's College Hospital Diabetic Foot Clinic. Ali, who has recentlyretired, was a nationally and internationally recognised leadingpodiatrist, and one of the first Consultant Podiatrists in the UK.She has authored many books and is on several journal editorialboards. In May 2003, Ali was the first podiatrist to be awarded theInternational Diabetic Foot Award, which is only awarded every fouryears to an indvidual who has played a pivotal role in developingdiabetic foot care Dr Michael Edmonds, Consultant Physician, The DiabeticFoot Clinic, King's College. Mike is a leading Consultant on thefoot, with national and international recognition. He has writtenmany books and journal articles.
With key points and summaries at the beginning and end ofeach section, this book is clear and easy to navigate, making it anideal tool for diabetes specialists, diabetes nurses andpodiatrists. (Mpilibrary.blogspot.co.uk,12 September 2014)"Using a case study format, this volume for diabetes specialists,nurses and podiatrists illustrates the multidisciplinary care andclinical management of patients with foot and lower limb problemsthat are a result of diabetes." ( Booknews, 1 April 2011) "...this book should be available to everyone involved in thecare of people with diabetes and foot disease, as a stimulus toreflecting on one's own practice, learning from experts and (as theauthors state) improving the outcome of diabetic foot disease."(Practical Diabetes International, 2011)
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