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i have a general scenerio question here, working in the nhs on a home visit you discover a necrotic toe. what would be the short term and long term management?
look at medical history the underlying cause diabetes r/ha poor tissue perfusion i.e arterial bypass
scoial history look at mobility
physcal examination does the pt know it was present how long for
has she felt any pain? signs for ischameic pain - cramp
tests vascular with doppler dorsal pedis and posterior tibal
sensation testing with monofilament to determine the cause
dressing choice if its dry and firm to use iodoflex to minimise bacteria load
hospital admittance? for IV antibitoics?
referral to high risk foot ulcer clinic .. complications in terms of waiting to be seen and at times pt may have problem with mobility and transport to go at a regular basis to a high risk clinic?
i have a general scenerio question here, working in the nhs on a home visit you discover a necrotic toe. what would be the short term and long term management?
look at medical history the underlying cause diabetes r/ha poor tissue perfusion i.e arterial bypass
scoial history look at mobility
physcal examination does the pt know it was present how long for
has she felt any pain? signs for ischameic pain - cramp
tests vascular with doppler dorsal pedis and posterior tibal
sensation testing with monofilament to determine the cause
dressing choice if its dry and firm to use iodoflex to minimise bacteria load
hospital admittance? for IV antibitoics?
referral to high risk foot ulcer clinic .. complications in terms of waiting to be seen and at times pt may have problem with mobility and transport to go at a regular basis to a high risk clinic?
thanks
Hi Nicola,
In my clinical opinion, any sign of critical limb ischaemia, then I would send the patient to hospital A&E ASAP.
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