Diabetic foot ulcer: Difference between revisions
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Created page with "== Background == * Foot ulcer in a patient with diabetes mellitus * Pathophysiology is from minor trauma in the context of: ** Neuropathy: sensory, motor, and autonomic ** Arteriopathy ** Immune dysfunction == SINBAD system == * Simple scoring system used for triaging diabetic foot ulcer {| class="wikitable" !Criterion !Value !Score |- | rowspan="2" |Site |Forefoot |0 |- |Midfoot or hindfoot |1 |- | rowspan="2" |Ischemia |Pedal blood flow intact, with at least on..." |
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== Further Reading == |
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* Offloading Plantar Pressures in Diabetes from Wounds Canada: https://www.woundscanada.ca/docman/public/health-care-professional/1214-wc-product-picker-offloading-ltr-1703e |
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[[Category:Endocrinology]] |
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[[Category:Wound care]] |
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Latest revision as of 14:19, 3 March 2026
Background
- Foot ulcer in a patient with diabetes mellitus
- Pathophysiology is from minor trauma in the context of:
- Neuropathy: sensory, motor, and autonomic
- Arteriopathy
- Immune dysfunction
SINBAD system
- Simple scoring system used for triaging diabetic foot ulcer
| Criterion | Value | Score |
|---|---|---|
| Site | Forefoot | 0 |
| Midfoot or hindfoot | 1 | |
| Ischemia | Pedal blood flow intact, with at least one palpable pulse | 0 |
| Clinical evidence of reduced pedal flow | 1 | |
| Neuropathy | Protective sensation intact | 0 |
| Protective sensation lost | 1 | |
| Bacterial infection | Absent | 0 |
| Present | 1 | |
| Area of ulcer | Ulcer <1 cm2 | 0 |
| Ulcer ≥1 cm2 | 1 | |
| Depth | Confined to skin and subcutaneous tissue | 0 |
| Reaching muscle, tendon, or deeper | 1 |
Further Reading
- Offloading Plantar Pressures in Diabetes from Wounds Canada: https://www.woundscanada.ca/docman/public/health-care-professional/1214-wc-product-picker-offloading-ltr-1703e
