Lesson 1Focused history elements: hyperglycemia, duration of ulcer, prior ulcers or amputations, systemic symptomsLearners go identify key history parts for suspected diabetic foot infection, including ulcer start, past wounds or limb cuts, body symptoms, sugar control, and recent medicines, to guess seriousness and guide quick checks.
Describing ulcer start and lengthPast ulcers, limb cuts, and operationsRecent injury, shoes, and pressure historyBody symptoms and blood poisoning warningsMedicine, antibiotic, and allergy checkLesson 2Initial in-hospital management in first 24 hours: empiric antibiotics, culture technique, offloading strategies, dressing choices, glycemic control coordinationLearners go structure first 24 hours of hospital care, covering starting antibiotic choice, right culture methods, urgent pressure relief, dressing picks, pain control, and sugar management team work.
Risk-based starting antibiotic choiceGetting deep tissue and bone culturesQuick pressure relief and bed rest ordersPicking first dressings and local careCoordinating insulin and sugar controlLesson 3Laboratory and imaging: CBC, CRP, blood cultures, HbA1c, plain radiographs, MRI indications and useThis part explain right lab and image workup, including blood count, CRP, ESR, blood cultures, HbA1c, simple x-rays, and reasons for MRI, CT, or ultrasound to find bone infection, pus pocket, and gas in soft parts.
Starting swelling and blood poisoning labsRole of HbA1c and body markersSimple x-rays and usual findingsMRI reasons for bone infectionWhen to use CT or ultrasound imagingLesson 4Pathophysiology of diabetic foot infection and neuropathic ulcerationThis part review ways leading to nerve damage ulcers and infection in diabetes, connecting high sugar, nerve loss, poor blood, and weak immunity to patterns that guide risk sorting and treatment choices.
Effect of long high sugar on tissuesNerve damage and loss of protectionSmall and big blood vessel poor flowImmune weakness and infection riskBiofilm build in long foot woundsLesson 5Coordination with endocrinology, infectious disease, vascular surgery, and wound care teamsLearners go understand how to team up with sugar doctors, infection experts, blood vessel surgeons, and wound care groups, defining jobs, referral signs, and talking ways to better results and cut problems.
When to call sugar servicesConsulting infection specialistsReferral rules for blood vessel surgeryWorking with wound care and foot doctorsOrganized team case reviewsLesson 6Focused foot and lower-limb exam: probe-to-bone, depth, sinus tracts, neuropathy testing (10g monofilament), peripheral pulsesThis part detail organized foot and leg exam, including look, touch, probe-to-bone test, depth and tunnel check, nerve screening with 10g thread, and blood vessel check with foot pulses.
System look check of the footProbe-to-bone method and meaningMeasuring wound depth and tunnels10g thread nerve testingTouch and grading of foot pulsesLesson 7Discharge planning: outpatient wound care, offloading devices, footwear prescription, glycemic follow-upLearners go plan safe leaving hospital for diabetic foot infection patients, including outside wound care setup, pressure relief tools, shoe orders, sugar follow-up, teaching on danger signs, and early return rules.
Checking ready and safe for leavingCoordinating outside wound care visitsOrdering pressure relief tools and shoesScheduling diabetes and sugar follow-upPatient teaching on repeat preventionLesson 8Wound classification systems and severity scoring (IDSA, IWGDF, University of Texas)Learners go compare main wound sorting and seriousness scoring systems, including IDSA, IWGDF, and Texas University, and use them to sort risk, standard record, and guide care level and treatment strength.
IDSA infection seriousness groupsIWGDF risk and infection gradingTexas University wound stagesLinking scores to treatment pathsUsing scores for talking and checkLesson 9Criteria and timing for surgical debridement or amputation and perioperative considerationsThis part outline rules and time for surgical cleaning or limb cut, including signs, urgency levels, before operation prep, sleep medicine thoughts, and after operation limb save and rehab planning.
Signs for urgent surgical cleaningRules for small vs big limb cutBefore operation risk check and prepAntibiotic time around operationAfter operation wound and limb save plansLesson 10Wound care protocols, antimicrobial stewardship, serial assessment and documentationThis part present standard wound care rules, dressing pick, cleaning times, antibiotic wise use principles, and ways for repeated check, photo, and record to watch healing and guide changes.
Standard bedside wound checkPicking dressings by leak and depthTime and ways of cleaningAntibiotic step down and lengthRepeated photo and electronic record
