Lesson 1Focused history elements: hyperglycemia, duration a ulcer, prior ulcers or amputations, systemic symptomsLearners will identify key history elements fi suspected diabetic foot infection, includin' ulcer onset, prior wounds or amputations, systemic symptoms, glycemic control, an' recent antibiotics, fi estimate severity an' guide urgent investigations.
Characterizin' ulcer onset an' durationPrior ulcers, amputations, an' surgeriesRecent trauma, footwear, an' pressure historySystemic symptoms an' sepsis red flagsMedication, antibiotic, an' allergy reviewLesson 2Initial in-hospital management in first 24 hours: empiric antibiotics, culture technique, offloadin' strategies, dressin' choices, glycemic control coordinationLearners will structure di first 24 hours a in-hospital care, coverin' empiric antibiotic selection, proper culture techniques, urgent offloadin', dressin' choices, pain control, an' coordination a glycemic management wid di inpatient team.
Risk-based empiric antibiotic selectionObtainin' deep tissue an' bone culturesImmediate offloadin' an' bed rest ordersSelectin' initial dressin's an' topical careCoordinatin' insulin an' glycemic controlLesson 3Laboratory an' imag'in: CBC, CRP, blood cultures, HbA1c, plain radiographs, MRI indications an' useDis section explain appropriate laboratory an' imag'in workup, includin' CBC, CRP, ESR, blood cultures, HbA1c, plain radiographs, an' indications fi MRI, CT, or ultrasound fi detect osteomyelitis, abscess, an' gas in soft tissues.
Baseline inflammatory an' sepsis labsRole a HbA1c an' metabolic markersPlain radiographs an' typical findin'sMRI indications fi osteomyelitisWhen fi use CT or ultrasound imag'inLesson 4Pathophysiology a diabetic foot infection an' neuropathic ulcerationDis section review di mechanisms leadin' to neuropathic ulceration an' infection in diabetes, linkin' hyperglycemia, neuropathy, ischemia, an' impaired immunity to clinical patterns dat guide risk stratification an' treatment decisions.
Impact a chronic hyperglycemia on tissuesPeripheral neuropathy an' loss a protectionMicrovascular an' macrovascular ischemiaImmune dysfunction an' infection riskBiofilm formation in chronic foot woundsLesson 5Coordination wid endocrinology, infectious disease, vascular surgery, an' wound care teamsLearners will understand how fi coordinate care wid endocrinology, infectious disease, vascular surgery, an' wound care teams, definin' roles, referral triggers, an' communication strategies fi optimize outcomes an' reduce complications.
When fi involve endocrinology servicesConsultin' infectious disease specialistsReferral criteria fi vascular surgeryWorkin' wid wound care an' podiatryStructured multidisciplinary case reviewsLesson 6Focused foot an' lower-limb exam: probe-to-bone, depth, sinus tracts, neuropathy testin' (10g monofilament), peripheral pulsesDis section detail a structured foot an' lower-limb exam, includin' inspection, palpation, probe-to-bone testin', depth an' sinus tract assessment, neuropathy screenin' wid 10 g monofilament, an' vascular evaluation wid pedal pulses.
Systematic visual inspection a di footProbe-to-bone technique an' interpretationMeasurin' wound depth an' sinus tracts10 g monofilament neuropathy testin'Palpation an' gradin' a pedal pulsesLesson 7Discharge plannin': outpatient wound care, offloadin' devices, footwear prescription, glycemic follow-upLearners will plan safe discharge fi patients wid diabetic foot infection, includin' outpatient wound care arrangements, offloadin' devices, footwear prescriptions, glycemic follow-up, education on warnin' signs, an' criteria fi early return.
Assessin' readiness an' safety fi dischargeCoordinatin' outpatient wound care visitsPrescribin' offloadin' devices an' footwearSchedulin' diabetes an' glycemic follow-upPatient education on recurrence preventionLesson 8Wound classification systems an' severity scorin' (IDSA, IWGDF, University a Texas)Learners will compare major wound classification an' severity scorin' systems, includin' IDSA, IWGDF, an' University a Texas, an' apply dem fi stratify risk, standardize documentation, an' guide level a care an' treatment intensity.
IDSA infection severity categoriesIWGDF risk an' infection gradin'University a Texas wound stagin'Linkin' scores to treatment pathwaysUsin' scores fi communication an' auditLesson 9Criteria an' timin' fi surgical debridement or amputation an' perioperative considerationsDis section outline criteria an' timin' fi surgical debridement or amputation, includin' indications, urgency levels, perioperative optimization, anesthesia considerations, an' postoperative limb salvage an' rehabilitation plannin'.
Indications fi urgent surgical debridementCriteria fi limited versus major amputationPreoperative risk assessment an' optimizationAntibiotic timin' around di operationPostoperative wound an' limb salvage plansLesson 10Wound care protocols, antimicrobial stewardship, serial assessment an' documentationDis section present standardized wound care protocols, dressin' selection, debridement intervals, antimicrobial stewardship principles, an' methods fi serial assessment, photography, an' documentation fi monitor healin' an' guide changes.
Standardized bedside wound assessmentChoosin' dressin's by exudate an' depthFrequency an' methods a debridementAntibiotic de-escalation an' durationSerial photography an' EMR documentation
