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Charcot Foot in Non-DM Neuropathic Patient

Discussion in 'Introductions' started by Canada Foot Guy, Mar 5, 2011.

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Canada Foot Guy Active Member

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I have a new male patient 72 y.o. with some sort of neuropathy (loss of protective sensation and loss of vibratory sensation), non-diabetic, presented to clinic with neuropathic apical ulcers on the right foot with severe edema and severe hemosiderosis, some possible cellulitis on 2nd toe ...if I want to also assess him for charcot arthropathy - should I get an x-ray or right to MRI? Is X-ray worth anything in this case?

2nd visit - patient's ulcers were clearing up nicely from topical and oral ABx given first visit, dealing with aspect of footwear and pressure now, erythema on second toe clearing up and even temp difference between each foot is now less...and no signs of foot deformity...am I just overly concerned or should I check for charcot ?

C.F.G.

Canada Foot Guy
:morning:

Canada Foot Guy, Mar 5, 2011

#1