Diabetic foot is a long term complication of diabetes mellitus (⬆️blood sugars) involving the feet. It presents with a foot ulcer (wound).
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📸WebMD
📸Ace Medial
📸SRB's Manual of Surgery
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Anyone with uncontrolled diabetes is at risk of developing a diabetic foot.
CAUSES
💥 Reduced blood flow to the legs. This reduces the healing ability of any wound that develops on the feet and increases chance of infection and gangrene.
💥 ⬆️Blood sugars that affect-
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your ability to fight infections.
💥 Changes in the design of the foot (Charcot foot).
💥 Loss of sensation in the feet (Diabetic neuropathy). Increases the chances of getting injuries. Injuries go unnoticed. This explains why DM patients use very hot water unknowingly.
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Charcot Foot
📸Nature
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Prevention
✴ Control your blood sugar levels both with lifestyle modification and medication
✴ Avoid Leg injuries
✴ Wash your feet with soap in warm water (not hot)
✴ Apply powder in between your toes to keep them dry & avoid infection
Diabetic foot lesions are responsible for more hospitalizations than any other complication of diabetes and they are the leading cause of non traumatic lower extremity amputations.
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Information here is not intended to be used for treatment but for awareness visit your health care provider for better advise and management.
For so long in Uganda and Africa at large, corticosteroids are being used over the counter (OTC) to treat common cold, simple allergies etc. However, corticosteroids have a considerable number of side effects including: hypertension,
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Diabetes, lipid disorders, sleep apnea, osteoporosis, myopathy, and disorders of coagulation (will further be discussed below). But patients use steroids without being aware of this.
Lets discuss steroids first👇
Commonly called steroids but 'll be important to clarify and
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differentiate them from sports steroids by calling them corticosteroids. Our bodies can produce all kinds of steroids for example cortisol, aldosterone, estrogens, testosterone etc.
Our interest is on the corticosteroids mainly cortisol.
This is produced by the adrenal
Autism Spectrum Disorders
ASD is a range of mental disorders characterised with difficulties in social interaction and communication and by restricted or repetitive patterns of thought and behaviour. They include; Autistic disorder or classic autism, Child Disintegrative Disorder
High functioning Austism and Pervasive Developmental Disorder-Not otherwise specified (PDD-NOS).
Most parents report that symptoms are typically recorgnised between 1 and 2 years of age.
Long term problems may include difficulties in performing daily tasks, creating and keeping
relationships, and maintaining a job. (If you have watched the movie The Good doctor, you can't have missed the doctor with autism)
ASD individuals have deficits in three social skills:
-Social emotional reciprocity
-Non-verbal communication
-Developing and sustaining rlnships