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    Case Study

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    سماره سماره
    This case study describes a 67-year-old woman with type 2 diabetes and other comorbidities who presented with dry gangrene in her left foot. She underwent a trans-metatarsal amputation, which was performed without anesthesia in the procedure room. This was a challenging case that stretched the limits of this procedure. Over 120 days of treatment, the wound healed and the patient was able to be fitted for custom orthotics and diabetic shoes.

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    Case Study

    Uploaded by

    سماره سماره
    70 views14 pages
    This case study describes a 67-year-old woman with type 2 diabetes and other comorbidities who presented with dry gangrene in her left foot. She underwent a trans-metatarsal amputation, which was performed without anesthesia in the procedure room. This was a challenging case that stretched the limits of this procedure. Over 120 days of treatment, the wound healed and the patient was able to be fitted for custom orthotics and diabetic shoes.

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    This case study describes a 67-year-old woman with type 2 diabetes and other comorbidities who presented with dry gangrene in her left foot. She underwent a trans-metatarsal amputation, which was performed without anesthesia in the procedure room. This was a challenging case that stretched the limits of this procedure. Over 120 days of treatment, the wound healed and the patient was able to be fitted for custom orthotics and diabetic shoes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    70 views14 pages

    Case Study

    Uploaded by

    سماره سماره
    This case study describes a 67-year-old woman with type 2 diabetes and other comorbidities who presented with dry gangrene in her left foot. She underwent a trans-metatarsal amputation, which was performed without anesthesia in the procedure room. This was a challenging case that stretched the limits of this procedure. Over 120 days of treatment, the wound healed and the patient was able to be fitted for custom orthotics and diabetic shoes.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    of 14

    Case study 1

    A 67year- old woman with type 2


    diabetes of more than 20 years
    duration in Insulin, HTN,
    Neuropathy Cardiac and post
    . CABG surgery
    Patient was new to our clinic, have
    .been treated in another hospital
    Presented to the diabetic foot clinic
    with dry gangrene ¾ of the left foot
    swelling, tender, cold touch ,
    ischemic and gangrene’s gases smell .
    pedal pulses weren’t present and
    . BKA been decided for her
    Case study 1
    She underwent a successful trans-
    metatarsal amputation with long
    laterally based plantar debridement
    the procedure was performed
    without anesthesia at the procedure
    . room in the unit
    This was a challenging case that
    stretched the indications and limits
    .for trans-metatarsal amputation
    The operation was successful patient
    continued follow with the diabetic
    foot clinic for wound dressing twice
    . a week
    Case study 1

    After 30 days
    After 60 days

    After 90 days
    Case study 1

    After 120 days of


    treatment
    Patient ready to
    be send to the
    Pt department
    for custom-
    made orthotics
    for use in extra-
    depth diabetic
    .shoes After 120 days
    Case study 2
    A 42 year old male , with type
    2 diabetes. He came to the
    hospital in 25 Jan 10
    complaining about warm foot,
    fever, ketoacidoses,
    Vomiting because he stepped
    on a piece of wood. He took
    out the splinter himself which
    caused a small wound. Later on
    the wound became bigger
    infected, sloughy, bone
    explosion 2 weeks after his
    visit from ER.
    Case study 2
    At the time, he had no idea he
    was a diabetic patient.
    Patient is a teacher.
    Consultation was made
    initially to orthopedic &
    general surgery. Both
    decided to go for BKA
    because the foot was so
    infected and collection of
    pus reaching the mid-leg.
    Ciliates almost reaching the
    knee.
    Case study 2
    We took care of the case,
    took patient to OR, did
    open debridement to
    release the pus
    collection from the
    foot, ankle and the leg.
    There was a large
    amount of pus
    extracted.
    Case study 2
    Patient operated and open
    debridement was done for
    him . And was successful
    patient continued treatment
    as inpatient for more than
    one months for IV
    antibiotics and wound
    dressing. Later on patient
    discharged home with
    diabetic foot clinic follow
    up for wound dressing
    . twice a week
    Some of Podiatric
    unit clinic Cases
    Examples in
    KAMC
    Infected wound & Ischemic
    Osteomyelitis
    Madura foot

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