Trench foot
Revisión del 06:20 3 dic 2013 de Rossdonaldson1 (discusión | contribs.) (Created page with "===Background=== *Develops slowly over hours-days when foot is exposed to cold/wet conditions *Reversible injury may progress to irreversible injury ===Clinical Features=== *...")
Background
- Develops slowly over hours-days when foot is exposed to cold/wet conditions
- Reversible injury may progress to irreversible injury
Clinical Features
- Tingling/numbness is initial symptom
- Foot appears pale, mottled, anesthetic, pulseless, and immobile
- Initially does not change after rewarming
- Hyperemic phase begins w/in hr after rewarming
- Assoc w/ severe burning pain and reappearance of proximal sensation
- As perfusion returns to foot over 2-3d edema and possibly bullae may form
- Anesthesia persists for weeks and may be permanent; gangrene may occur
Treatment
- Keep feet clean, warm, dryly bandaged, elevated
- Monitor for signs of infection