Main Newsletter
Mastery Series
Therapy Series
 
Bookmark and Share | Print Article | Test Your Knowledge Previous | All Articles This Week | Next
This article originally posted 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: Issue 770 | Diabetes Clinical Mastery Series Issue 229 | Issue 769 | Diabetes Clinical Mastery Series Issue 228 | Issue 768 |

2015 Most Popular Articles:

What Is the Best Time to Exercise with Diabetes?
Posted February 05, 2015
New Guideline Released on Pharmacological Management of Obesity
Posted January 23, 2015
Change Language to Combat Feelings of Failure
Posted February 08, 2015
Eye Scan Predicts Peripheral Neuropathy in Type 1 Diabetes
Posted January 30, 2015
A Probiotic That Helps Control Diabetes
Posted February 06, 2015
Type 2 Diabetes Remission Very Rare in Non-Bariatric Surgery Patients
Posted January 30, 2015
Are DPP-4 Inhibitors Really a Risk Factor for Pneumonia?
Posted January 30, 2015
Human-Insulin Producing Stem Cells
Posted February 13, 2015
Higher BMI Leads to More Diabetes Complications Diagnosed among Older Adults
Posted January 30, 2015
Bariatric Surgery for Diabetics May Not Be Worth The Risk
Posted February 13, 2015


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. 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 | Richard K. Bernstein, MD | Sheri R. Colberg PhD | Sherri Shafer | Stanley Schwartz, MD, FACP, FACE | Steve Pohlit | Steven V. Edelman, M.D. | Timothy S. Hollingshead |

Cast Your Vote
What percentage of your patients are at goal for A1c, BP and cholesterol?



Search Articles On Diabetes In Control