1

iatrogenic lesions 96 imipenem 116 imipramine 49 incision and drainage 184-7 independence, of amputees 180-1 infected foot (stage 4) 13,14,102-40 differential diagnosis 110—11 educational control 135-9 investigations 111-13 management 15,113-39 mechanical control 135 metabolic control 135 microbiological control 114-28 necrosis developing in 142-3,144 presentation and diagnosis 102-13 spectrum of clinical presentations 102-10 surgical management 184 vascular control 133—5 wound control 128-33 infections after puncture wounds 93 asymptomatic/not noticed 102-4 burns 95

callus masking 102,103,104-5

classification 105

clinical presentations 102-10

early warning signs 104,136-7

extensive deep soft tissue see soft tissue infections, extensive deep incision and drainage 184-7 local signs 105-6,117-20,128-9 metastatic 109-10 nail 5,22

pain as sole warning 104 prevention in stage 3 foot 80-1 stump 179 ulcers 63-4,105-9 see also cellulitis; osteomyelitis inflammatory skin diseases 3-4,27-8 influenza-like symptoms 137, 157,159 ingrowing toe nails (onychocryptosis) 4,20-1 insect bites/stings 28-9,95-6 insoles 36,37 cradled 37,72 design 72 moulded 71-2 inspection 3-8 insulin ix, 183 needles 93-4 neuritis 48

regimen, infected foot 135 sliding scale 131 interdigital ulcers 63 intermittent claudication 42 internal fixation ankle instability/destruction 217-18 mid-foot fracture-dislocations 215-16 see also Kirschner wire fixation; screw fixation International Consensus on the Diabetic Foot (1999) ix,x International Symposia on the Diabetic Foot ix International Working Group of the Diabetic Foot ix intractable plantar keratoses (IPKs) 194 intramedullary nailing, ankle arthrodesis with 217-18 intravenous fluids 131,133 investigations 11-12 emboli 165 infected foot 111-13 ulcerated foot 64-5 iodine 22,80 ischaemia 12

acute 43-4,145-6,147 investigations 11 nail beds 4,5 pain 2,43

severe chronic 43,144-5 skin colour 7 stump 179

vs. cellulitis 43,110-11 ischaemic foot 12

see also neuroischaemic foot ischaemic ulcers 12,13,62,63

see also neuroischaemic ulcers itraconazole 22

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