Assessment of<unk>  includes identifying risk factors such as diabetic peripheral neuropathy, noting that 50 percent of people are asymptomatic, and ruling out other causes of peripheral neuropathy such as alcohol use disorder and spinal injury. The location of the ulcer, its size, shape, depth and whether the tissue is granulating or sloughy needs to be considered. Further considerations include whether there is malodour, condition of the border of the wound and palpable bone and sinus formation should be investigated. Signs of infection require to be considered such as development of grey or yellow tissue, purulent discharge, unpleasant smell, sinus, undermined edges and exposure of bone or tendon. Identification of diabetic foot in medical databases, such as commercial claims and prescription data, is complicated by the lack of a specific ICD-9 code for diabetic foot and variation in coding practices. The following codes indicate ulcer of the lower limb or foot: * 707.1 Ulcer of lower limbs, except pressure ulcer * 707.14 Ulcer of heel and midfoot * 707.15 Ulcer of other part of foot * 707.19 Ulcer of other part of lower limb One or more codes, in combination with a current or prior diagnosis of diabetes may be sufficient to conclude diabetic foot: * 250.0 Diabetes Mellitus * 250.8 Diabetes with other specified manifestations Classification<unk>  is a complication of diabetes.<unk> s are classified as either neuropathic, neuroischaemic or ischaemic. Doctors also use the Wagner Grades to describe the severity of an ulcer. The purpose of the Wagner Grades is to allow specialists to better monitor and treat<unk> s. This grading system classifies<unk> s using numbers, from 0 to 5. Wagner Grades 0 through 5 are as follows: * 0. No<unk>  is present, but there is a high risk of developing one. * 1. A surface ulcer involves full skin thickness, but does not yet involve the underlying tissues. * 2. A deep ulcer penetrates past the surface, down to the ligaments and muscle. There is no abscess or bone involved yet. * 3. A deep ulcer occurs with inflammation of subcutaneous connective tissue or an abscess. This can include infections in the muscle, tendon, joint, and/or bone. * 4. The tissue around the area of the ulcer (limited to the toes and forefoot) has begun to decay. This condition is called gangrene. * 5. Gangrene has spread from the localized area of the ulcer to become extensive. This involves the whole foot.
Diabetic foot ulcer
Diabetic foot infection
Diabetic sock
Arterial insufficiency ulcer
Chronic venous insufficiency
Athlete's foot
Linguatulosis
Pressure ulcer