Trench foot - Revision history

Rossdonaldson1: /* Clinical Features */

2020-01-28T21:28:00Z

Clinical Features

← Revisión anterior		Revisión del 21:28 28 ene 2020
Línea 9:		Línea 9:

	==Clinical Features <ref name=Ikaheimo />==		==Clinical Features <ref name=Ikaheimo />==
			[[File:Case of trench feet suffered by unidentified soldier Cas de pieds des tranchées (soldat non identifié).jpg\|thumb\|Trench foot as seen on an unidentified soldier during World War I]]
	*Initial signs and symptoms		*Initial signs and symptoms
	**[[Numbness]] and tingling		**[[Numbness]] and tingling

ClaireLewis: /* Clinical Features */

2019-09-28T22:14:46Z

Clinical Features

← Revisión anterior		Revisión del 22:14 28 sep 2019
Línea 17:		Línea 17:
	**Severe burning pain and reappearance of proximal sensation		**Severe burning pain and reappearance of proximal sensation
	*2-3 days post treatment		*2-3 days post treatment
	**Edema and [[vesiculobullous ~~rash~~\|bullae]] may form as perfusion returns		**Edema and [[vesiculobullous rashes\|bullae]] may form as perfusion returns
	*Weeks later		*Weeks later
	**Anesthesia persists and may be permanent		**Anesthesia persists and may be permanent

ClaireLewis at 22:14, 28 September 2019

2019-09-28T22:14:26Z

← Revisión anterior		Revisión del 22:14 28 sep 2019
Línea 1:		Línea 1:
	==Background==		==Background==
	*Considered a nonfreezing cold injury		*Considered a nonfreezing [[cold injuries\|cold injury]]
	** Injury caused by cold exposure to tissue not resulting in freezing		** Injury caused by cold exposure to tissue not resulting in freezing
	*Develops slowly over hours-days when foot is exposed to cold/wet conditions		*Develops slowly over hours-days when foot is exposed to cold/wet conditions
	*Reversible injury may progress to irreversible injury		*Reversible injury may progress to irreversible injury
	*Can cause gangrene or infection acutely, and cold intolerance and pain chronically		*Can cause [[gangrene]] or [[skin infection]] acutely, and cold intolerance and pain chronically
	*Rarely seen in civilians, but a significant problem in military operations <ref name=Ikaheimo>Ikaheimo T. Frostbite and Other Localized Cold Injuries. In: Tintinalli's Emergency Medicine: A comprehensive study guide. 7th ed. McGraw Hill Medical; 2011: 1331</ref>		*Rarely seen in civilians, but a significant problem in military operations <ref name=Ikaheimo>Ikaheimo T. Frostbite and Other Localized Cold Injuries. In: Tintinalli's Emergency Medicine: A comprehensive study guide. 7th ed. McGraw Hill Medical; 2011: 1331</ref>
	*Also frequently seen in the homeless population, particularly during winter months (do not have ready access to clean/dry clothes or means to fully dry socks or shoes)		*Also frequently seen in the homeless population, particularly during winter months (do not have ready access to clean/dry clothes or means to fully dry socks or shoes)
Línea 10:		Línea 10:
	==Clinical Features <ref name=Ikaheimo />==		==Clinical Features <ref name=Ikaheimo />==
	*Initial signs and symptoms		*Initial signs and symptoms
	**Numbness and tingling		**[[Numbness]] and tingling
	**Pale, mottled, anesthetic, pulseless, and immobile foot		**Pale, mottled, anesthetic, pulseless, and immobile foot
	**No changes will occur after initial rewarming		**No changes will occur after initial rewarming
Línea 17:		Línea 17:
	**Severe burning pain and reappearance of proximal sensation		**Severe burning pain and reappearance of proximal sensation
	*2-3 days post treatment		*2-3 days post treatment
	**Edema and bullae may form as perfusion returns		**Edema and [[vesiculobullous rash\|bullae]] may form as perfusion returns
	*Weeks later		*Weeks later
	**Anesthesia persists and may be permanent		**Anesthesia persists and may be permanent

Rossdonaldson1: /* Management */

2018-10-23T22:32:26Z

Management

← Revisión anterior		Revisión del 22:32 23 oct 2018
Línea 42:		Línea 42:
	*Vasodilators		*Vasodilators
	**Oral prostaglandins increase skin temperatures		**Oral prostaglandins increase skin temperatures
	*Prophylaxis
	**Keep warm, good boot fit, change out of wet socks		===Prophylaxis===
			*Keep warm, good boot fit, change out of wet socks

	==Disposition==		==Disposition==

Sabedi: /* Management */

2018-10-22T03:45:43Z

Management

← Revisión anterior		Revisión del 03:45 22 oct 2018
Línea 37:		Línea 37:
	**Keep feet clean, warm, dryly bandaged, elevated		**Keep feet clean, warm, dryly bandaged, elevated
	**Monitor for signs of infection		**Monitor for signs of infection
			*Update tetanus
			*Treat systemic hypothermia by rewarming
			**Do not actively rewarm extremities with isolated nonfreezing cold injury
	*Vasodilators		*Vasodilators
	**Oral prostaglandins increase skin temperatures		**Oral prostaglandins increase skin temperatures

Sabedi: /* Background */

2018-10-22T03:41:08Z

Background

← Revisión anterior		Revisión del 03:41 22 oct 2018
Línea 1:		Línea 1:
	==Background==		==Background==
	*Considered a nonfreezing cold injury		*Considered a nonfreezing cold injury
	**~~Occurs when ambient temperature above~~ freezing		** Injury caused by cold exposure to tissue not resulting in freezing
	*Develops slowly over hours-days when foot is exposed to cold/wet conditions		*Develops slowly over hours-days when foot is exposed to cold/wet conditions
	*Reversible injury may progress to irreversible injury		*Reversible injury may progress to irreversible injury
			*Can cause gangrene or infection acutely, and cold intolerance and pain chronically
	*Rarely seen in civilians, but a significant problem in military operations <ref name=Ikaheimo>Ikaheimo T. Frostbite and Other Localized Cold Injuries. In: Tintinalli's Emergency Medicine: A comprehensive study guide. 7th ed. McGraw Hill Medical; 2011: 1331</ref>		*Rarely seen in civilians, but a significant problem in military operations <ref name=Ikaheimo>Ikaheimo T. Frostbite and Other Localized Cold Injuries. In: Tintinalli's Emergency Medicine: A comprehensive study guide. 7th ed. McGraw Hill Medical; 2011: 1331</ref>
	*Also frequently seen in the homeless population, particularly during winter months (do not have ready access to clean/dry clothes or means to fully dry socks or shoes)		*Also frequently seen in the homeless population, particularly during winter months (do not have ready access to clean/dry clothes or means to fully dry socks or shoes)

Kramarsh: /* Background */

2018-03-22T17:43:45Z

Background

← Revisión anterior		Revisión del 17:43 22 mar 2018
Línea 5:		Línea 5:
	*Reversible injury may progress to irreversible injury		*Reversible injury may progress to irreversible injury
	*Rarely seen in civilians, but a significant problem in military operations <ref name=Ikaheimo>Ikaheimo T. Frostbite and Other Localized Cold Injuries. In: Tintinalli's Emergency Medicine: A comprehensive study guide. 7th ed. McGraw Hill Medical; 2011: 1331</ref>		*Rarely seen in civilians, but a significant problem in military operations <ref name=Ikaheimo>Ikaheimo T. Frostbite and Other Localized Cold Injuries. In: Tintinalli's Emergency Medicine: A comprehensive study guide. 7th ed. McGraw Hill Medical; 2011: 1331</ref>
			*Also frequently seen in the homeless population, particularly during winter months (do not have ready access to clean/dry clothes or means to fully dry socks or shoes)

	==Clinical Features <ref name=Ikaheimo />==		==Clinical Features <ref name=Ikaheimo />==

Kramarsh: /* Disposition */

2018-03-22T17:42:08Z

Disposition

← Revisión anterior		Revisión del 17:42 22 mar 2018
Línea 41:		Línea 41:

	==Disposition==		==Disposition==
			*Mild cases can be discharged safely after being provided with strong education including frequenting changing of socks and keeping feet warm and dry
	*Admission is generally required for observation and serial reexaminations of the extremity.		*Admission is generally required for observation and serial reexaminations of the extremity.

Rossdonaldson1: /* Differential Diagnosis */

2017-10-30T04:26:02Z

Differential Diagnosis

← Revisión anterior		Revisión del 04:26 30 oct 2017
Línea 24:		Línea 24:

	==Differential Diagnosis==		==Differential Diagnosis==
	{{Foot ~~diagnoses~~}}		{{Foot infection}}

	{{Cold injuries DDX}}		{{Cold injuries DDX}}

Rossdonaldson1: /* Clinical Features */

2017-10-30T04:10:41Z

Clinical Features

← Revisión anterior		Revisión del 04:10 30 oct 2017
Línea 18:		Línea 18:
	*Weeks later		*Weeks later
	**Anesthesia persists and may be permanent		**Anesthesia persists and may be permanent
	**Tissue sloughing and gangrene may occur		**Tissue sloughing and [[gangrene]] may occur
	*Months to years		*Months to years
	**Hyperhidrosis and cold sensitivity may persist		**Hyperhidrosis and cold sensitivity may persist