DIABETIC FOOT

Disusun Oleh :
SHAFA MEDINA 12100117098

Preseptor :
dr. H. Unang Yusuf A.H., Sp. OT

BAGIAN ILMU BEDAH

PROGRAM PENDIDIKAN POFESI DOKTER (P3D)
FK UNISBA – RS SYAMSUDIN SH SUKABUMI 2018
DIABETIC FOOT
Foot abnormalities
caused by neuropathy, Infection
ischemia and infection
in Diabetes Mellitus
patient's lead to tissue Neuropathy Ischemia
breakdown or
ulceration posibbly
resulting amputation.
EPIDEMIOLOGI 50% of all non-traumatic
15% of diabetics will suffer lower limb amputation
foot problem caused by Diabetic Foot

85% of diabetic foot Mortality caused by diabetic

amputations are preceded by foot 17-32%
foot ulcer
ETIOLOGI

Neuropathy Vasculopathy Immune

Dysfunction
PATOFISIOLOGI DM

Peripheral
Peripheral vascular disease
neuropathy

Increase flow
regulation motor Autonomic sensory

Shunting sweat pain 

Power
imbalance  proprioception

Reduced capillary blood Fissuring 
flow
Deformity

Defective response to start foot ulcer and

infection
ANAMNESIS
GEJALA KLINIS
FOOT EXAMINATION
Foot Examination
• Skin changes
Structural • Evidence of infection
Abnormalities • Callous or ulcer
• Range of motion
• Charcot foot
Peripheral • Temperature
Arterial • Skin changes
Assessment • Ankle Brachial Index

Neuropathy
• 10 gram monofilament
Assessment
 Key Elements of the Lower Extremity Physical Examination

Element Parameter
Inspection • Gait
• Foot morphology (Charcot arthropathy, bony prominences)
• Toe morphology (clawtoe, hammertoe, number of toes)
• Skin: blisters, abrasions, calluses, subkeratotic hematomas
or hemorrhage, ulcers, absence of hair, toe nail problems,
edema, abnormal color
• Status of nails
• Foot hygiene (cleanliness, tinea pedis)
Palpation • Pedal pulses
• Temperature (increased or decreased warmth)
Protective • Sensation to 10 gram monofilament
sensation
Footwear • Exterior: signs of wear, penetrating objects
• Interior: signs of wear, orthotics, foreign bodies
 FOOT EXAMINATION
VISUAL INSPECTION
Ingrowing nail Hammer toe
 FOOT EXAMINATION
VISUAL INSPECTION
bunion Corn & callus
 FOOT EXAMINATION
VISUAL INSPECTION
Dry skin: Marceration:
 FOOT EXAMINATION
(VISUAL INSPECTION)

Charcot’s foot Clawed toes

 FOOT EXAMINATION
NEUROPATHY ASSESSMENT

Testing touch pressure sensation

with a monofilament
Klasifikasi
MANAGEMENT
Antibiotik
TERIMAKASIH