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Diagnostik

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Der diabetische Fuß

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Zusammenfassung

Die Diagnostik des diabetischen Fußes muss interdisziplinär erfolgen. Hier gehen Diabetologie, Angiologie und Neurologie Hand in Hand. Neben der Beschreibung des Status des Lokalbefundes ist die Evaluation einer begleitenden Neuropathie ebenso wichtig wie der Gefäßstatus, sodass vor allen invasiven Maßnahmen eine entsprechende Gefäßrekonstruktion erfolgt. Dritte Komponente im Rahmen der diagnostischen Sicherung ist der Status der Infektsituation, da der nicht adäquat behandelte Infekt ein hohes Risikopotential für eine nachfolgende Major-Amputation beinhaltet. Sofern die Diagnostik bereits auf diese drei Hauptaspekte des diabetischen Fußes fokussiert ist, ergeben sich Vorteile für die Therapieplanung und für das Outcome des Patienten.

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Authors and Affiliations

  1. Klinikum Stuttgart – Bad Cannstatt Klinik für Endokrinologie, Diabetologie und Geriatrie, Akademisches Lehrkrankenhaus der Universität Tübingen, Prießnitzweg 24, 70374, Stuttgart

    Prof. Dr. med. R. Lobmann

  2. II. Medizinische Klinik und Poliklinik, Universitätsmedizin der Johannes Gutenberg-Universität, Langenbeckstr. 1, 55101, Mainz

    Univ.Prof. C. Espinola-Klein

  3. Zentrum für Neurologie, Justus-Liebig-Universität, Klinikstr. 33, 35392, Gießen

    Prof. Dr. med. H.H. Krämer

  4. Klinik und Poliklinik für diagnostische und interventionelle Radiologie, Johannes-Gutenberg-Universität, Langenbeckstr. 1, 55101, Mainz

    Dr. med. S. Schadmand-Fischer

  5. St. Nikolaus-Stiftshospital GmbH Akademisches Lehrkrankenhaus, Universität Bonn, Hindenburgwall 1, 56626, Andernach

    Dr. med. U. Waldecker

  6. Fachärztin für Orthopädische Chirurgie und Traumatologie des Bewegungsapparates, Hirslanden Klinik Birshof, Reinacherstr. 28, CH-4142, Münchenstein

    Prof. Dr. med. A. Eckardt

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  1. Prof. Dr. med. R. Lobmann
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  2. Univ.Prof. C. Espinola-Klein
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  3. Prof. Dr. med. H.H. Krämer
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  4. Dr. med. S. Schadmand-Fischer
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  5. Dr. med. U. Waldecker
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  6. Prof. Dr. med. A. Eckardt
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Correspondence to R. Lobmann , C. Espinola-Klein , H. H. Krämer , S. Schadmand-Fischer , U. Waldecker or A. Eckardt .

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Editors and Affiliations

  1. Hirslanden-Klinik Birshof, Münchenstein, Schweiz

    Anke Eckardt

  2. Klinikum Stuttgart, Stuttgart, Deutschland

    Ralf Lobmann

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Lobmann, R., Espinola-Klein, C., Krämer, H., Schadmand-Fischer, S., Waldecker, U., Eckardt, A. (2015). Diagnostik. In: Eckardt, A., Lobmann, R. (eds) Der diabetische Fuß. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-38425-7_3

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