Diabetic ulcers

Due to the complex aetiology of diabetic ulcers, a thorough evaluation is crucial before any treatment is instituted. This evaluation should determine whether the ulcer is neuropathic, neuro-ischaemic or ischaemic. An adequate description of the ulcer in terms of size, depth, appearance and location is also important, as it will help monitor the progress of treatment. If there is evidence of infection a swab should be taken for culture and sensitivity and appropriate antibiotics should be...

Varicose Veins

Surgery for varicose veins, involving long or short saphenous system in the lower limb, is considered when they are symptomatic or present with complications. The assessment of patients should be done clinically to determine the incompetence in the superficial system and to rule out incompetence of deep venous system. This may be followed by investigations, like venous Duplex studies or venography, for the deep system. When the decision for surgery is made then the patient is assessed regarding...

List Of Abbreviations

American Society of Anaesthesiologists Alert, verbal, painful, unresponsive Chronic obstructive pulmonary disease Department of Health and Social Security Endo-vascular aortic aneurysm repair Invasive positive pressure ventilation Multi-centre aneurysm screening study Matrix metalloproteinase proteinases Non-invasive positive pressure ventilation

Managing Lymphoedema A Clinic Approach

Lymphoedema is a progressive chronic swelling of the limbs and the body that occurs as a result of an inadequate compromised lymphatic system. The most common form is in a limb, but it can affect any part of the body. At present there are no accurate figures of the number of people with lymph-oedema, although it has been estimated that 144 per 100,000 are affected. (Casley-Smith, 1997). Predominantly in the literature breast cancer related swelling is the most quoted, and this equates to an...