Endo: Diabetic Foot Disease: Free MSRA Podcast

🎧 FREE MSRA PODCAST – Diabetic Foot Disease: QuickfireEssentials for the ExamJoin us in thishigh-yield Deep Dive as we break down the2015 NICE Guidelines on Diabetic Foot Disease. This episode is designedto give you a structured, exam-focused overview of one of the most importantcomplications of diabetes – ideal for the MSRAand clinical practice. 🧠 Key Learning Points 📌 Definition• Diabetic Foot Disease = Foot damage caused by diabetes-related complications, mainly: – Peripheral neuropathy (nerve damage) – Peripheral arterial disease (PAD) (poor bloodsupply) 📌 Pathophysiology• Neuropathy → ↓ protective sensation, dry skin,risk of ulcers and deformities (e.g. Charcot'sarthropathy)• Ischaemia → ↓ blood flow due to atherosclerosis→ poor wound healing, ↑ infection risk• Combination = highrisk of ulcers, infections, osteomyelitis, gangrene 📌 Clinical Features• Neuropathy signs: – Loss ofvibration, pinprick, or 10g monofilament sensation• Ischaemia signs: – Weak/absent footpulses – Intermittentclaudication – Low ABPI• Complications: – Calluses – Ulcers – Cellulitis, osteomyelitis – Charcot foot – Gangrene 📌 Screening & NICE Recommendations• Annual foot screening for all diabetic patients• Tests: – Manual palpationof dorsalis pedis and posterior tibial pulses – 10g monofilament test on the sole of the foot 📌 Risk Stratification (NICE)🟢Low Risk: No neuropathy/ischemia (may have callus only)🟡Moderate Risk: Any one of: – Neuropathy – Non-critical limbischaemia – Foot deformity🔴High Risk: – Previous ulcer oramputation – On renal replacement therapy – Any 2+ from neuropathy, deformity, ischaemia,callus 📌 Management• Moderate/High-risk= Refer to specialist diabetic foot service• Team approach isvital for managing anything more than simple callus• Aim: Prevent ulcers, infections, and amputationsthrough regular review 📎 MSRA-Specific Takeaways• Know how toperform and interpret monofilament and pulse checks• Understand how tocategorise risk levels based on NICE• Appreciate theimportance of early referral and prevention strategies 📝 MSRA Resources on Diabetic Foot Disease• Revision Notes:https://www.passthemsra.com/topic/diabetic-foot-disease-an-overview-revision-notes/• Flashcards:https://www.passthemsra.com/topic/diabetic-foot-disease-an-overview-flashcards/• Accordion Q&A Notes:https://www.passthemsra.com/topic/diabetic-foot-disease-an-overview-accordion-qa-notes/• Rapid Fire Quiz:https://www.passthemsra.com/topic/diabetic-foot-disease-an-overview-rapid-quiz/ Hashtags#MSRA#DiabeticFootDisease #DiabetesComplications #MSRAFlashcards #MSRAQuiz#FootScreening #Endocrinology #MSRAExam #NICEGuidelines #MedicalEducation#MSRARevision