Lesson 1Focused history elements: hyperglycemia, duration of ulcer, prior ulcers or amputations, systemic symptomsStudents will spot main history parts for possible diabetic foot infection, like ulcer start, past wounds or limb losses, body symptoms, blood sugar control, and recent drugs, to judge seriousness and plan quick tests.
Describing ulcer start and lengthPast ulcers, limb losses, and operationsRecent hurts, shoes, and pressure pastBody symptoms and blood poisoning signsDrug, antibiotic, and allergy checkLesson 2Initial in-hospital management in first 24 hours: empiric antibiotics, culture technique, offloading strategies, dressing choices, glycemic control coordinationStudents will organize the first day of hospital care, including starting antibiotics, right culture methods, quick pressure relief, dressing picks, pain relief, and working with the team on blood sugar handling.
Risk-based starting antibiotic picksGetting deep tissue and bone samplesQuick pressure relief and bed rest ordersPicking first dressings and local careWorking on insulin and sugar controlLesson 3Laboratory and imaging: CBC, CRP, blood cultures, HbA1c, plain radiographs, MRI indications and useThis part explains right lab and scan tests, like blood count, inflammation markers, blood samples, sugar history, basic x-rays, and when to use MRI, CT, or sound waves to find bone infection, pus pockets, and gas in tissues.
Starting inflammation and poisoning labsRole of sugar history and body markersBasic x-rays and usual findingsMRI needs for bone infectionWhen to use CT or sound imagingLesson 4Pathophysiology of diabetic foot infection and neuropathic ulcerationThis section looks at how nerve damage ulcers and infections start in diabetes, linking high sugar, nerve loss, poor blood flow, and weak defenses to patterns that help sort risks and choose treatments.
Effect of long high sugar on body partsNerve damage and lost protectionSmall and large blood vessel poor flowBody defense weakness and infection chanceFilm buildup in old foot woundsLesson 5Coordination with endocrinology, infectious disease, vascular surgery, and wound care teamsStudents will learn to work with sugar, infection, blood vessel surgery, and wound teams, setting roles, referral signs, and talk ways to improve results and cut problems.
When to call sugar servicesAsking infection expertsReferral rules for blood vessel surgeryWorking with wound and foot careOrganized team case talksLesson 6Focused foot and lower-limb exam: probe-to-bone, depth, sinus tracts, neuropathy testing (10g monofilament), peripheral pulsesThis part details a planned foot and leg check, including looking, feeling, probe to bone test, depth and tunnel check, nerve screening with 10g thread, and blood flow check with foot pulses.
Planned look at the footProbe to bone method and meaningMeasuring wound depth and tunnels10g thread nerve testFeeling and grading foot pulsesLesson 7Discharge planning: outpatient wound care, offloading devices, footwear prescription, glycemic follow-upStudents will plan safe leaving for diabetic foot infection patients, including outside wound care, pressure relief tools, shoe orders, sugar follow-up, teaching on danger signs, and rules for quick return.
Checking ready and safe for leavingWorking outside wound care visitsOrdering pressure relief tools and shoesSetting sugar and body follow-upTeaching on stopping repeatsLesson 8Wound classification systems and severity scoring (IDSA, IWGDF, University of Texas)Students will compare main wound sorting and seriousness scores, like IDSA, IWGDF, and Texas University, and use them to sort risks, standard records, and guide care level and treatment strength.
IDSA infection seriousness groupsIWGDF risk and infection levelsTexas University wound stepsLinking scores to treatment pathsUsing scores for talk and checksLesson 9Criteria and timing for surgical debridement or amputation and perioperative considerationsThis section sets rules and times for surgery cleaning or limb removal, including signs, urgency, before-surgery prep, sleep method thoughts, and after care for saving limb and recovery planning.
Signs for quick surgery cleaningRules for small vs big limb removalBefore surgery risk check and prepAntibiotic time around operationAfter wound and limb save plansLesson 10Wound care protocols, antimicrobial stewardship, serial assessment and documentationThis part shows standard wound care rules, dressing picks, cleaning times, antibiotic wise use, and ways for repeated checks, photos, and records to watch healing and guide changes.
Standard bedside wound checkPicking dressings by fluid and depthTime and ways of cleaningAntibiotic reduce and lengthRepeated photos and digital records
