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Perfusion Assessment and Treatment in the Diabetic Patient. [Review]

MedStar author(s):

Citation: Clinics in Podiatric Medicine & Surgery. 36(3):361-370, 2019 Jul.PMID: 31079603Institution: MedStar Washington Hospital CenterDepartment: Surgery/Vascular SurgeryForm of publication: Journal ArticleMedline article type(s): Journal Article | ReviewSubject headings: *Diabetes Mellitus/pp [Physiopathology] | *Diabetic Foot/su [Surgery] | *Peripheral Arterial Disease/di [Diagnosis] | *Peripheral Arterial Disease/su [Surgery] | Ankle Brachial Index | Blood Circulation/ph [Physiology] | Blood Pressure/ph [Physiology] | Diabetic Foot/dg [Diagnostic Imaging] | Diagnostic Imaging | Endovascular Procedures | Foot/bs [Blood Supply] | Foot/dg [Diagnostic Imaging] | Humans | Peripheral Arterial Disease/pp [Physiopathology] | Physical Examination | Pulse | Vascular Surgical ProceduresYear: 2019 Local holdings: Available online through MWHC library: 2002 - presentISSN:

0891-8422

Name of journal: Clinics in podiatric medicine and surgeryAbstract: Copyright (c) 2019 Elsevier Inc. All rights reserved.The accurate assessment of peripheral perfusion is a critical step in caring for a diabetic patient with active ulceration. This article guides the provider through diagnostic and therapeutic options. The perfusion assessment begins with a physical examination and augmented using noninvasive tests. Although some of these tests can be performed at the bedside, often a dedicated vascular laboratory is required. Additional cross-sectional imaging studies or formal angiography should be performed as well. These tools aid in the creation of the best therapeutic plan, which aims to restore perfusion and allow for rapid wound healing via open or endovascular means.All authors: Abramowitz S, Siah MCFiscal year: FY2019Digital Object Identifier:

https://dx.doi.org/10.1016/j.cpm.2019.03.001

Date added to catalog: 2019-05-21

Holdings ( 1 )
Title notes ( 4 )

Holdings
Item type	Current library	Collection	Call number	Status	Date due	Barcode
Journal Article	MedStar Authors Catalog	Article	31079603	Available		31079603

Available online through MWHC library: 2002 - present

The accurate assessment of peripheral perfusion is a critical step in caring for a diabetic patient with active ulceration. This article guides the provider through diagnostic and therapeutic options. The perfusion assessment begins with a physical examination and augmented using noninvasive tests. Although some of these tests can be performed at the bedside, often a dedicated vascular laboratory is required. Additional cross-sectional imaging studies or formal angiography should be performed as well. These tools aid in the creation of the best therapeutic plan, which aims to restore perfusion and allow for rapid wound healing via open or endovascular means.

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