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Wound Care

Neuropathic Wound

What is the most common cause of peripheral neuropathy? DM
90-95% of all cases of DM are type I or II? II
When is the typical onset of DM II? >40 years old
Besides I and II, what are the other types of diabetes? gestational, genetic
The number of cases of DM has increased __x over the last 40 years. 6
What % of the US has DM? 7%(14.6 mill diagnosed, 6.2 mill undiagnosed)
What is the annual cost of DM per year? 14 billion
Casual plasma glucose ≥___ mg/dL results in the diagnoses of DM. 200
Fasting plasma glucose ≥___ mg/dL mg/dL results in the diagnoses of DM. 126
What is normal hemoglobin A1C? 7%
What is ischemic necrosis? ulcer resulting from low pressure over long time
What is mechanical disruption? high pressure (600psi) that causes immediate damage
What is inflammatory destruction caused by? repetitive moderate pressure (40-60psi)
What is the most common site for ulceration? foot(71%)
What is the most common site for ulceration on the foot? Others? 1)3rd met head 2)Great toe 3)5th met head
What areas are prone to ulceration? prior wound sites
What is the gold standard for testing sensation of the foot? Semmes-Wienstein Monofilament Testing
Normal sensation = how much force? 4.17(1g)
Loss of protective sensation = how much force? 5.07(10g)
Insensate foot = how much force? 6.10(75g)
If you notice a big difference in pressures when testing segmental pressure in a diabetic pt, what may be the problem? could be a blockage
When doing vascular temperature testing, areas of excessive heat indicate what? a vascular response to trauma
What skeletal deformity results from fractures and dislocations of bones in medial the arch, loss of intrinsic muscles, and is degenerative? Charcot Arthropathy
Wagner Classification System grade 0=? skin intact
Wagner Classification System grade 1=? superficial
Wagner Classification System grade 2=? Deeper ulcer to tendon or bone
Wagner Classification System grade 3=? Ulcer with abscess or osteo
Wagner Classification System grade 4=? gangrene on foot
Wagner Classification System grade 5=? Gangrene over majority of foot
Created by: txst spr 2010