Diabetic Foot Risk Category 6: Dysvascular Foot
Summary of clinical findings:
- patient diagnosed with diabetes mellitus
- sensation may or may not be intact
- clinical signs of lower extremity ischemia
- abnormal noninvasive vascular exam values
- ulceration may or may not be present
Treatment guidelines:
- vascular consult, possible revascularization
- if an infected ulceration is present, treatment same as Diabetic Foot Risk Category 5
- vascular consult concomitant with control of sepsis
- in category 6 (critical ischemia), contact casting is a relative contraindication
(Reference: Treatment-based classification system for assessment and care of diabetic feet. JAPMA, 86:7, 1996.)
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