Health Economics and FinancingDiabetic Foot Care: Case Studies in Clinical Management uses an illustrated patient case study format to demonstrate the multidisciplinary care and clinical management of patients with feet and lower limb problems as a result of diabetes. Every case has colour illustrations highlighting both the initial presentation of the foot, right through to treatment and long term follow-up care. Of particular focus are the management problems, barriers to effective care, preventable mistakes, unnecessary delays in presentations, challenging situations, conflicts, dilemmas and solutions that podiatrists and diabetic specialists face.Sections in the book include: Neuropathic and neuroischaemic foot, neuropathic ulcers, ischaemic ulcers, infections, gangrene, traumatic injuries, Charcot's osteoarthropathy, dermatological problems associated with diabetes, painful neuropathy, diabetic foot emergencies, angiology and foot surgery/amputation. With key points and summaries at the beginning and end of each section, this book is clear and easy to navigate, making it an ideal tool for diabetes specialists, diabetes nurses and podiatrists.Titles of Related InterestPractical Manual ofDiabetic Foot Care 2EEdmonds. 978-1-4051-6147-3>The Foot in Diabetes 4EBoulton.978-0-470-01504-9Handbook of Diabetes 4EBilous.978-1-4051-8409-0

Acknowledgements ixIntroduction xi1 Neuropathic Case Studies 11.1 Introduction 11.2 Differing presentations of infection and complications of infection 31.3 Co-morbidities in addition to diabetes and neuropathy 361.4 Deformity, ulceration and infection treated by surgical debridement and reconstruction 401.5 Patients with neuropathic feet in whom psychological factors have impacted on their management 481.6 Long term patients followed in the Diabetic Foot Clinic with neuropathic foot problems 572 Ischaemic Case Studies 832.1 Introduction 832.2 Infection and its presentations 862.3 Patients with severe co-morbidities 922.4 Revascularisation 1052.5 Wound care 1352.6 Emboli 1402.7 Complications 1442.8 Pain in the neuroischaemic foot 1512.9 Conservative care 1533 Charcot Case Studies 1573.1 Introduction 1573.2 Early diagnosis 1603.3 Different presentations 1723.4 Surgery 1953.5 Conservative care 2144 Renal Case Studies 2174.1 Introduction 2174.2 Patients with normal serum creatinine who develop low creatinine clearance with infection 2194.3 Low creatinine clearance and complications 2254.4 Continuous ambulatory peritoneal dialysis (CAPD) and complications 2384.5 Haemodialysis and complications 2464.6 Renal transplant and complications 2504.7 Revascularisation in renal patients 255Index 261