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UMHS Home/Logo Consult Request Guidelines

for Foot Ulcers

   
Foot Ulcers
Suggested Pre-Referral Evaluation and Management Guidelines
  		• Daily wound care
  		• Topical antibiotic if chronic
  		• Consider: peripheral neuropathy (diabetic, alcohol, toxic, etc), peripheral vascular disease, osteomyelitis
    Suggested Additional Test/Management Prior to Specialty Visit
  		• Peripheral neuropathy workup: consider fasting glucose, Hgb A1C, TSH, T 4, WESR, CBC/WBC, LFTs, B12, SPEP, UPEP, UFix
  		• EMG
  		• Foot x-rays to rule out osteomyelitis, Charcot changes
  		• Arterial doppler studies--ABIs, TBIs
  		• If bone is visible or palpable on examination, osteomyelitis likely, begin antibiotics
  		• Cellulitis, begin antibiotics or consider admit
    Patient Education/Information (includes preps)
  • Diabetic Education
  • Education regarding foot care, shoe wear
  • Nutrition Education
    		•
    Appointment Timeframe 1 week
    How to Get Results to Consultant UMHS Patients: See CareWeb
    External Patients: hand carry medical records and clinic notes to visit
    Clinic Contact Information Physician: 800-962-3555
    Patient: 734-936-7175
    Clinic Location Sites Eisenhower Park West
    UM Consulting Physician Miles O. Colwell, M.D.
    Brian M. Kelly, D.O.
    James A Leonard Jr., M.D.
    Sonya R. Miller, M.D.
    M. Catherine Spires, M.D.
    Revised on: 10/07/2009