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| Trigger points for a GP referral to a podiatrist- Clinical diagnosis or history of peripheral neuropathy (PN), peripheral vascular disease (PVD), foot deformity, foot ulcer
- Patients with diabetes require a minimum of 12 month foot screening of the above factors
- Patients with a diagnosis of any of the above factors need at least three to six monthly podiatric care, according to international consensus
Trigger points for a podiatrist referral to a GP- Foot infection requiring antibiotics
- Hyperglycaemia management
- Oral management of painful peripheral neuropathy
- Referral to medical specialist and/or multidisciplinary team
- Referral for more complex imaging unable to be directly referred by podiatrists (e.g. bone scan, MRI, etc) and/or pathology
Potential treatment by a podiatrist- Assessment, diagnosis and management of foot ulcers, amputation, Charcot jointism, PNM, PVD and/or foot deformity
- Ongoing management of any of the above including:
- Wound dressing
- Debridement of wounds and calluses/corns
- Off-loading wounds and/or high plantar pressure areas (e.g. orthotics, casting, wound boots)
- Biomechanical and gait analysis
- Footwear advice and prescription
- Podiatric foot care and diabetes education
- Monitoring and referral for infection, hyperglycaemia, PVD etc
- Imaging referrals (e.g. x-ray or ultrasound) for possible osteomyletis etc
- Coordination and/or correspondence with GP and multidisciplinary diabetic foot team (e.g. podiatrist, physician, surgeon, diabetes educator, dietitian, orthotics/pedorthotist etc)
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