Sign up for our complimentary
weekly e-journal

Main Newsletter
Mastery Series
Therapy Series
 
Bookmark and Share | Print Article | Test Your Knowledge Previous | All Articles This Week | Next
This article originally posted 02 February, 2010 and appeared in  Issue 507MedicationType 2 DiabetesPodiatrySpecial Edition - Best of 2010

Test Your Knowledge Question #507: At his routine evaluation, a 62-year-old man who has had diabetes for 10 years reports....

At his routine evaluation, a 62-year-old man who has had diabetes for 10 years reports a 6-week-old right foot ulcer that has not completely healed despite local dressing and oral antibiotics.

Advertisement

He is obese and also has mild osteoarthritis, hypertension, and hypercholesterolemia. He has a 60-pack-year history of cigarette smoking but was able to quit 5 years ago after a transient ischemic attack. He reports no symptoms of leg claudication. His current medications include glipizide, lisinopril, hydrochlorothiazide, atenolol, simvastatin and aspirin.

His body mass index is 32.5 and blood pressure is 140/80 mm Hg. He is afebrile. A 3-cm plantar ulcer surrounded by a callus at the base of the second metatarsal head is noted on the right foot; the ulcer edges are necrotic. Dorsalis pedis and posterior tibialis pulses are weakly palpable. The ankle reflexes and microfilament sensation for all toes are absent bilaterally.

Which of the following should be the next step in the treatment of this patient?

A. Change the antihypertensive regimen.
B. Debride the callus and provide wet and dry dressings.
C. Perform nerve conduction studies.
D. Refer to a vascular surgeon.

For the correct answer, please click here.

Advertisement


 

Bookmark and Share | Print | Category | Home

This article originally posted 02 February, 2010 and appeared in  Issue 507MedicationType 2 DiabetesPodiatrySpecial Edition - Best of 2010

Past five issues: Diabetes Clinical Mastery Series Issue 199 | Issue 739 | GLP-1 Special Editions July 2014 | Diabetes Clinical Mastery Series Issue 198 | Issue 738 |

2014 Most Popular Articles:

U.S. FDA Approves Inhaled Insulin: What Medical Professionals Need to Know
Posted July 04, 2014
Newly Updated: Comprehensive List of Insulins
Posted June 30, 2014
Can Insulin Treatment Do More Harm Than Good for Older Type 2's?
Posted July 04, 2014
Too Much Medication for Elderly Diabetes Patients?
Posted July 11, 2014
Which Is Better for BG Control: Aerobic or Anaerobic Exercise?
Posted July 11, 2014
Association between Diabetic Foot Ulceration and Premature Death
Posted July 04, 2014
Pluses and Minuses of Glucose Lowering for Older Diabetes Patients
Posted July 18, 2014
Role of Leptin Deficiency in Type 1 Diabetes
Posted July 11, 2014
HbA1c Variability and Mortality in Patients with Type 2 Diabetes
Posted July 18, 2014
One Possible Answer to Healing Chronic Diabetic Foot Ulcers
Posted July 04, 2014


Browse by Feature Writer & Article Category.
A. Lee Dellon, MD | Aaron I. Vinik, MD, PhD, FCP, MACP | Beverly Price | Charles W Martin, DD | Derek Lowe, PhD | Dr. Bernstein | Dr. Brian Jakes, Jr. | Dr. Fred Pescatore | Dr. Tom Burke, Ph.D | Eric S. Freedland | Evan D. Rosen | Ginger Kanzer-Lewis | Greg Milliger | Kristina Sandstedt | Laura Plunkett | Leonard Lipson, M.A. | Louis H. Philipson | Maria Emanuel Ryan, DDS, PhD | Marilyn Porter, RD, CDE | Melissa Diane Smith | Michael R. Cohen, RPh, MS, ScD, FASHP | Paul Chous, M.A., OD | Philip A. Wood PhD | R. Keith Campbell, Professor, B.Pharm, MBA, CDE | Sheri R. Colberg PhD | Sherri Shafer | Stanley Schwartz, MD, FACP, FACE | Steve Pohlit | Steven V. Edelman, M.D. | Timothy S. Hollingshead |
Cast Your Vote
Do you offer group education sessions in your practice?
CME/CE of the Week

Diabetes in Pregnancy
Lois Jovanovic, MD

Category: CDE

CE Credits: 75

 



Search Articles On Diabetes In Control