Acceso usuarios
María Paz Torres Tolosa, Olga Melero Serrano, Marta Alaiz Borrell, Lidia Royo Gutiérrez, Natalia Sánchez Magallón, María del Mar Rodrigo Álvarez
Paciente de 61 años con antecedentes de diabetes Mellitus tipo II insulinodependitente, HTA, EPOC, Insuficiencia vascular en EEII, Artropatía de Charcot en ambos pies, amputación de 5º dedo del pie izquierdo y Úlcera neuropática en planta (mal perforante plantar) del pie derecho de 1 mes de evolución. Seguimiento en consulta de cirugía vascular y cura en consulta de enfermería de atención primaria cada 48 horas. En una de las visitas se aprecia un empeoramiento de la úlcera con aparición de caverna, mal olor y aumento del exudado. Se realiza interconsulta con cirugía vascular y a las 24 horas se deriva a Urgencias del hospital.
A 61-year-old patient with a history of type II insulin-dependent diabetes mellitus, hypertension, COPD, vascular insufficiency in the lower extremities, Charcot arthropathy in both feet, amputation of the 5th toe of the left foot, and a neuropathic ulcer (mal perforating ulcer) on the right foot’s sole with one month of progression. The patient is under follow-up in the vascular surgery clinic and receives wound care at the primary care nursing clinic every 48 hours. During one of the visits, the ulcer was observed to have worsened, with the appearance of a cavity, foul odor, and increased exudate. A consultation with vascular surgery was performed, and the patient was referred to the hospital’s emergency department within 24 hours
