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Clinical Examination and Risk Classification of the Diabetic Foot

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Book cover The Diabetic Foot

Part of the book series: Contemporary Diabetes ((CDI))

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Abstract

A consistent, thoughtful assessment of the diabetic foot is pivotal to identify patients at risk for ulceration. In this chapter, we discuss the key risk factors to screen patients for foot complications: a history of lower extremity disease, the presence of peripheral neuropathy, and foot deformities. We discuss the practical approach and background of these key risk factors and subsequently the two most commonly used classification systems for diabetic foot ulcers. Many of the risk factors for ulceration may be identified using simple, inexpensive techniques in a primary care setting. Appropriate classification of the wound becomes paramount in our efforts to document and communicate the level of risk and facilitate amputation prevention.

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Authors and Affiliations

  1. Department of Plastic Surgery, University of Texas Southwestern Medical Center, Dallas, TX, USA

    Lawrence A. Lavery DPM, MPH, Suzanne van Asten MD & Javier La Fontaine DPM, MS

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  1. Lawrence A. Lavery DPM, MPH
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  2. Suzanne van Asten MD
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  3. Javier La Fontaine DPM, MS
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Correspondence to Lawrence A. Lavery DPM, MPH .

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Editors and Affiliations

  1. Rongxiang Xu, MD, Professor of Surgery, Harvard Medical School Director, The Rongxiang Xu, MD, Center for Regenerative Therapeutics Research Director, Joslin-Beth Israel Deaconess Foot Center Beth Israel Deaconess Medical Center, Boston, MA, USA

    Aristidis Veves

  2. Chief, Division of Podiatry, Beth Israel Deaconess Medical Center, Associate Professor of Surgery, Harvard Medical School, Co-director, Joslin-Bl Deaconess Diabetic Foot Center Consultant, Joslin Diabetes Center, Boston, MA, USA

    John M. Giurini

  3. Associate Professor of Surgery, Harvard Medical School, Division of Vascular and Endovascular Surgery, Beth Israel Deaconess Medical Center, Joslin Diabetes Center, Boston, MA, USA

    Raul J. Guzman

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Lavery, L.A., van Asten, S., La Fontaine, J. (2018). Clinical Examination and Risk Classification of the Diabetic Foot. In: Veves, A., Giurini, J., Guzman, R. (eds) The Diabetic Foot. Contemporary Diabetes. Humana, Cham. https://doi.org/10.1007/978-3-319-89869-8_2

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