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