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PROGRESSION OF DIABETES MELLITUS IN THE WORLD. Wild S et Al. Diabetes Care 2004;27:1047-53. Critical Limb Ischemia = Ischemic Diabetic Foot. Clinical evolution of PAD. PAD. neuropathy. trauma. infection. metabolic imbalance. diabetic immunopathy.
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PROGRESSION OF DIABETES MELLITUS IN THE WORLD Wild S et Al. Diabetes Care 2004;27:1047-53 CriticalLimb Ischemia = IschemicDiabeticFoot
Clinicalevolutionof PAD PAD neuropathy trauma infection metabolicimbalance diabeticimmunopathy
Prevalenceofamputationswithineachwoundcategory Armstrong D. et al: Validationof a diabeticwound classificationsystem.Diabetes Care Vol.21 n.5 855 (1998)
Diabetic Foot Triage + patientclinicalcondition: limbthreating/life threating
Step-by-step approach in diabetic CLI 1° 2° 3° REVASCULARIZATION • INFECTION TREATMENT • FINAL TREATMENT PTA/Bypass are not the first linetherapy in Texas D wounds (infection+ischemia) • ULCER DEBRIDEMENT & URGENT SURGERY (GANGRENE/ABSCESS/ PHLEGMON) • METABOLIC & CARDIOLOGIC TREATMENT • PRE-MEDICATIONS • MEDICAL • SURGICAL • ORTHOPEDIC • REHABILITATION