Sandbox G: Difference between revisions

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{| class="infobox" style="border: 0; float: right; width: 24%; position: fixed; top: 173px; right: 14px; background: #104E8B; border-radius: 10px 10px 10px 10px; margin: 0 0 0 0; padding: 5px 5px; font-weight: bold;"
| style="text-align: center; text-shadow: 0 -1px 0 rgba(0, 0, 0, 0.5); font-size: 120%;" |  [[{{PAGENAME}}#Overview|{{fontcolor|#F8F8FF|TITLE}}]]
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[[{{PAGENAME}}#Diagnostic Criteria|{{fontcolor|#F8F8FF|Diagnostic Criteria}}]]
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[[{{PAGENAME}}#Classification|{{fontcolor|#F8F8FF|Classification}}]]
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[[{{PAGENAME}}#Causes|{{fontcolor|#F8F8FF|Causes}}]]
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[[{{PAGENAME}}#Focused Initial Rapid Evaluation|{{fontcolor|#F8F8FF|Focused Initial Rapid Evaluation}}]]
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[[{{PAGENAME}}#Complete Diagnostic Approach|{{fontcolor|#F8F8FF|Complete Diagnostic Approach}}]]
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[[{{PAGENAME}}#Management|{{fontcolor|#F8F8FF|Management}}]]
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[[{{PAGENAME}}#Dos and Don'ts|{{fontcolor|#F8F8FF|Dos and Don'ts}}]]
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__NOTOC__
__NOTOC__
{{CMG}}; {{AE}} {{GRN}}
{{CMG}}


==Overview==
==Overview==  


[[Diabetic foot]] is a long term complication of [[diabetes mellitus]], with a multi factor ethiology that causes lost of sensation, impairment of circulation and, if untreated, finally leads to foot ulceration, gangrene and amputation. '''Diabetic Foot Infection (DFI)''' is definded by the presence of two or more clasic sings of inflamation OR purulence. Infections can be classified in mild (skin and subcutaneous tissue or ≤2 cm of extension), moderate (deeper than subuctaneous tissue or >2 cm of extension) or severe (UFI AND presesence of [[SIRS]])<ref name="pmid22619242">{{cite journal| author=Lipsky BA, Berendt AR, Cornia PB, Pile JC, Peters EJ, Armstrong DG et al.| title=2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. | journal=Clin Infect Dis | year= 2012 | volume= 54 | issue= 12 | pages= e132-73 | pmid=22619242 | doi=10.1093/cid/cis346 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22619242  }} </ref>. Regardless of the severity, every patient with DFI should undergo debridment of the necrotic tissue and proper wound care <ref name="pmid22619242">{{cite journal| author=Lipsky BA, Berendt AR, Cornia PB, Pile JC, Peters EJ, Armstrong DG et al.| title=2012 Infectious Diseases Society of America clinical practice guideline for the diagnosis and treatment of diabetic foot infections. | journal=Clin Infect Dis | year= 2012 | volume= 54 | issue= 12 | pages= e132-73 | pmid=22619242 | doi=10.1093/cid/cis346 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22619242  }} </ref>.
==Diagnostic Criteria==


==Classification==


==Medical Therapy==
==Causes==


===Emperic therapy===
===Life Threatening Causes===
<span style="font-size: 85%;">Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.</span>


===Common Causes===
==Focused Initial Rapid Evaluation==
<span style="font-size: 85%;">
'''Abbreviations''':
CBC, complete blood count;
DC, differential count;
ICU, intensive care unit;
INR, international normalized ratio;
LFT, liver function test;
PT, prothrombin time;
PTT, partial prothrombin time;
SaO2, arterial oxygen saturation;
ScvO2, central venous oxygen saturation;
SvO2, mixed venous oxygen saturation;
SMA-7, sequential multiple analysis-7.
</span>
{{Familytree/start}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| A01 | | |A01=<div style="padding: 0px 10px;">
==Disease Suspected==
</div>}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| |!| | | |}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| A01 | | |A01=<div style="padding: 0px 10px;">
==Immediate Treatment==
</div>}}
{{Familytree/end}}
==Complete Diagnostic Approach==
<span style="font-size: 85%;">
'''Abbreviations''':
CBC, complete blood count;
DC, differential count.
</span>
{{Familytree/start}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| A01 | | |A01=<div style="padding: 0px 10px;">
==Focused History==
</div>}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| |!| | | |}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| A01 | | |A01=<div style="padding: 0px 10px;">
==Physical Examination==
</div>}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| |!| | | |}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| A01 | | |A01=<div style="padding: 0px 10px;">
==Laboratory Workup==
</div>}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| |!| | | |}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| A01 | | |A01=<div style="padding: 0px 10px;">
==Imaging Study==
</div>}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| |!| | | |}}
{{Familytree|boxstyle=width: 600px; text-align: left; font-size: 100%; padding: 0px; vertical-align: text-top;| A01 | | |A01=<div style="padding: 0px 10px;">
==Other Investigation==
</div>}}
{{Familytree/end}}
</div>
==Management==
==Dos and Don'ts==
===Dos===
===Don'ts===
==Guidelines==


==References==
==References==
{{Reflist|2}}
{{Reflist|2}}
[[Category:Disease]]
[[Category:Medicine]]
[[Category:Resident survival guide]]

Latest revision as of 13:26, 30 April 2015

TITLE

Diagnostic Criteria

Classification

Causes

Focused Initial Rapid Evaluation

Complete Diagnostic Approach

Management

Dos and Don'ts

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Diagnostic Criteria

Classification

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Common Causes

Focused Initial Rapid Evaluation

Abbreviations: CBC, complete blood count; DC, differential count; ICU, intensive care unit; INR, international normalized ratio; LFT, liver function test; PT, prothrombin time; PTT, partial prothrombin time; SaO2, arterial oxygen saturation; ScvO2, central venous oxygen saturation; SvO2, mixed venous oxygen saturation; SMA-7, sequential multiple analysis-7.

Disease Suspected

 
 
 
 
 
 
 
 

Immediate Treatment

 
 

Complete Diagnostic Approach

Abbreviations: CBC, complete blood count; DC, differential count.

Focused History

 
 
 
 
 
 
 
 

Physical Examination

 
 
 
 
 
 
 
 

Laboratory Workup

 
 
 
 
 
 
 
 

Imaging Study

 
 
 
 
 
 
 
 

Other Investigation

 
 

Management

Dos and Don'ts

Dos

Don'ts

Guidelines

References

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