Diabetic foot ulcer
From IDWiki
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
