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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diabetes, Minor Surgery On Foot, Finger Darkened. What Is Wrong?

hi! I'm Mr. Bacasejos of Manila, Philippines, asking a big favor from you to answer my query about my uncle with diabetes. he is now in the hospital with minor operation in his foot. after the a day of operation we noticed that another finger in his foot again turned into black in color. he undergo minor operation in his foot because one of his finger get black due to the wound created by a rusty nail. the blackening of his finger in the foot is normal or not?
Fri, 12 Apr 2013
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General & Family Physician,  's  Response
Hello,
Your uncle has developed gangrene of foot due uncontrolled diabetes.A general term DIABETIC FOOT has been given to such cases.
The major factors involved in it's causation are ischemia,neuropathy,and infection and delayed wound healing.
The management requires a proper evaluation of foot by getting
Pus culture
CT FOOT to see the bone infection
Arterial and venous Doppler of lower limb
Treatment would involve prolonged antibiotic therapy with proper amputation of the affected part.
A reconstructive surgery is to be done properly to avoid future occurrence of gangrene by restoring proper blood flow to the foot.
I hope it helps.
Thanks
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Diabetes, Minor Surgery On Foot, Finger Darkened. What Is Wrong?

Hello, Your uncle has developed gangrene of foot due uncontrolled diabetes.A general term DIABETIC FOOT has been given to such cases. The major factors involved in it s causation are ischemia,neuropathy,and infection and delayed wound healing. The management requires a proper evaluation of foot by getting Pus culture CT FOOT to see the bone infection Arterial and venous Doppler of lower limb Treatment would involve prolonged antibiotic therapy with proper amputation of the affected part. A reconstructive surgery is to be done properly to avoid future occurrence of gangrene by restoring proper blood flow to the foot. I hope it helps. Thanks