Lesson 1Focused history elements: hyperglycemia, duration of ulcer, prior ulcers or amputations, systemic symptomsStudents will spot key history parts for suspected diabetic foot infection, like ulcer start, past wounds or limb losses, body symptoms, blood sugar control, and recent drugs, to guess seriousness and guide quick tests.
Describing ulcer start and lengthPast ulcers, limb losses, and operationsRecent injury, shoes, and pressure historyBody 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, covering starting antibiotics, right culture methods, urgent pressure relief, dressing picks, pain relief, and linking blood sugar management with the ward team.
Risk-based starting antibiotic choiceGetting deep tissue and bone culturesQuick pressure relief and bed rest ordersPicking first dressings and local careLinking insulin and blood sugar controlLesson 3Laboratory and imaging: CBC, CRP, blood cultures, HbA1c, plain radiographs, MRI indications and useThis part explains right lab and scan workup, including blood count, CRP, ESR, blood cultures, HbA1c, simple x-rays, and when to use MRI, CT, or ultrasound to find bone infection, pus pockets, and gas in tissues.
Basic swelling and blood poisoning labsRole of HbA1c and body markersSimple x-rays and usual findingsMRI signs for bone infectionWhen to use CT or ultrasound scansLesson 4Pathophysiology of diabetic foot infection and neuropathic ulcerationThis part reviews how high blood sugar, nerve damage, poor blood flow, and weak immunity lead to ulcers and infections in diabetes, connecting these to patterns that guide risk sorting and treatment choices.
Effect of long high blood sugar on tissuesNerve damage and loss of protectionSmall and large vessel blood flow issuesImmune weakness and infection dangerBiofilm in long-term foot woundsLesson 5Coordination with endocrinology, infectious disease, vascular surgery, and wound care teamsStudents will learn how to work with hormone, infection, blood vessel surgery, and wound teams, defining jobs, referral signs, and talk strategies to improve results and cut problems in care.
When to call hormone servicesConsulting infection expertsReferral rules for blood vessel surgeryWorking with wound and foot careOrganized team case reviewsLesson 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 exam, including looking, feeling, probe-to-bone test, depth and tunnel check, nerve screening with 10g thread, and blood vessel check with foot pulses.
Systematic foot look checkProbe-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 hospital for diabetic foot infection patients, including outside wound care, pressure relief tools, shoe orders, blood sugar follow-up, teaching on danger signs, and early return rules.
Checking readiness and safety for leavingLinking outside wound care visitsOrdering pressure relief tools and shoesScheduling diabetes and blood sugar follow-upPatient teaching on preventing repeatLesson 8Wound classification systems and severity scoring (IDSA, IWGDF, University of Texas)Students will compare main wound sorting and seriousness scoring systems like 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 talk and checksLesson 9Criteria and timing for surgical debridement or amputation and perioperative considerationsThis part outlines rules and timing for surgery cleaning or limb removal, including signs, urgency levels, pre-surgery prep, anesthesia thoughts, and after-surgery limb saving and rehab planning.
Signs for urgent surgery cleaningRules for small vs big limb removalPre-surgery risk check and prepAntibiotic timing around operationAfter-surgery wound and limb saving plansLesson 10Wound care protocols, antimicrobial stewardship, serial assessment and documentationThis part shows standard wound care steps, dressing choice, cleaning times, antibiotic wise use, and ways for repeated checks, photos, and records to watch healing and guide changes in care.
Standard bedside wound checkPicking dressings by fluid and depthFrequency and ways of cleaningAntibiotic step-down and lengthRepeated photos and electronic records
