{"id":23788,"date":"2024-04-08T09:57:49","date_gmt":"2024-04-08T12:57:49","guid":{"rendered":"https:\/\/www.grupomedcof.com.br\/blog\/?p=23788"},"modified":"2024-07-01T13:08:40","modified_gmt":"2024-07-01T16:08:40","slug":"pe-diabetico-clinica-e-avaliacao","status":"publish","type":"post","link":"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/","title":{"rendered":"P\u00e9 diab\u00e9tico: cl\u00ednica e avalia\u00e7\u00e3o."},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_74 counter-hierarchy ez-toc-counter ez-toc-transparent ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Sum\u00e1rio<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Alternar tabela de conte\u00fado\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Diferenciando_ulceras_neuropaticas_e_isquemicas\" >Diferenciando \u00falceras neurop\u00e1ticas e isqu\u00eamicas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Abordagem_ao_pe_diabetico\" >Abordagem ao p\u00e9 diab\u00e9tico<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Classificacao_de_Wagner\" >Classifica\u00e7\u00e3o de Wagner<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Classificacao_de_risco\" >Classifica\u00e7\u00e3o de risco<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Tratamento_das_queixas\" >Tratamento das queixas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Tratamento_das_lesoes_infectadas\" >Tratamento das les\u00f5es infectadas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#O_metodo_que_te_aprova\" >O m\u00e9todo que te aprova<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Classificacao_de_Wagner-2\" >Classifica\u00e7\u00e3o de Wagner<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Classificacao_de_risco-2\" >Classifica\u00e7\u00e3o de risco<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Tratamento_das_queixas-2\" >Tratamento das queixas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Tratamento_das_lesoes_infectadas-2\" >Tratamento das les\u00f5es infectadas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#O_metodo_que_te_aprova-2\" >O m\u00e9todo que te aprova<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Classificacao_de_Wagner-3\" >Classifica\u00e7\u00e3o de Wagner<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Classificacao_de_risco-3\" >Classifica\u00e7\u00e3o de risco<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Tratamento_das_queixas-3\" >Tratamento das queixas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#Tratamento_das_lesoes_infectadas-3\" >Tratamento das les\u00f5es infectadas<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/www.grupomedcof.com.br\/blog\/pe-diabetico-clinica-e-avaliacao\/#O_metodo_que_te_aprova-3\" >O m\u00e9todo que te aprova<\/a><\/li><\/ul><\/nav><\/div>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-55-1024x576.png\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-55-1024x576.png 1024w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-55-300x169.png 300w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-55-768x432.png 768w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-55-1536x864.png 1536w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Blog-MedCof-55.png 1920w\" alt=\"\" width=\"800\" height=\"450\" \/>\n<h4>Sum\u00e1rio<\/h4>\nDiabetes \u00e9 a principal causa de amputa\u00e7\u00e3o n\u00e3o traum\u00e1tica de membro inferior no nosso pa\u00eds, \u00e9 considerado que 11% dos diab\u00e9ticos de longa data ir\u00e3o sofrer amputa\u00e7\u00e3o em algum momento. Al\u00e9m disso, o motivo mais comum de internamento hospitalar de pacientes diab\u00e9ticos \u00e9 o p\u00e9 diab\u00e9tico infectado e\/ou gangrena \u00famida de podod\u00e1ctilos.\n\nAs principais causas de <strong>p\u00e9 diab\u00e9tico<\/strong> s\u00e3o as polineuropatias sensitivo-motoras, as neuropatias auton\u00f4micas e a doen\u00e7a arterial perif\u00e9rica.\n\n&#x1f4d6; <strong>P\u00c9 DIAB\u00c9TICO:<\/strong> infec\u00e7\u00e3o, ulcera\u00e7\u00e3o e\/ou destrui\u00e7\u00e3o de tecidos moles + altera\u00e7\u00f5es neurol\u00f3gicas + v\u00e1rios graus de doen\u00e7a arterial obstrutiva perif\u00e9rica de MMII.\n<h2 id=\"h-diferenciando-ulceras-neuropaticas-e-isquemicas\"><span class=\"ez-toc-section\" id=\"Diferenciando_ulceras_neuropaticas_e_isquemicas\"><\/span>Diferenciando \u00falceras neurop\u00e1ticas e isqu\u00eamicas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:post-content --><!-- wp:table -->\n<figure>\n<table>\n<thead>\n<tr>\n<th>\u00daLCERA NEUROP\u00c1TICA<\/th>\n<th>\u00daLCERA ISQU\u00caMICA<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Indolor<\/td>\n<td>Dolorosa<\/td>\n<\/tr>\n<tr>\n<td>Pulsos presentes<\/td>\n<td>Pulsos ausentes<\/td>\n<\/tr>\n<tr>\n<td>Calosidades<\/td>\n<td>Unhas atrofiadas<\/td>\n<\/tr>\n<tr>\n<td>Pele seca<\/td>\n<td>Palidez<\/td>\n<\/tr>\n<tr>\n<td>Tecido granuloso<\/td>\n<td>Margens irregulares<\/td>\n<\/tr>\n<tr>\n<td>Secretiva \u2014 gangrena \u00famida<\/td>\n<td>N\u00e3o exsudativa \u2014 gangrena seca<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n&#x26a0;&#xfe0f; <strong>DICA:<\/strong> Se for poss\u00edvel palpar o pulso pedioso do membro acometido, a principal causa da isqu\u00eamica \u00e9 neurol\u00f3gica e n\u00e3o vascular.\n<h2><span class=\"ez-toc-section\" id=\"Abordagem_ao_pe_diabetico\"><\/span>Abordagem ao p\u00e9 diab\u00e9tico<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:table --><!-- wp:paragraph -->\n\nO <strong>rastreio de p\u00e9 diab\u00e9tico<\/strong> deve ser realizado no diagn\u00f3stico de diabetes tipo 2 e, ap\u00f3s isso, uma vez por ano. No caso da diabetes tipo 1, deve-se realizar ap\u00f3s 5 anos do diagn\u00f3stico.\n\n<strong>ORIENTA\u00c7\u00c3O DE CAL\u00c7ADOS<\/strong>\n\n<!-- \/wp:paragraph --><!-- wp:table -->\n<figure>\n<table>\n<thead>\n<tr>\n<th>EVITAR<\/th>\n<th>PREFERIR<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>Aumentam a temperatura do p\u00e9<\/td>\n<td>Confort\u00e1veis<\/td>\n<\/tr>\n<tr>\n<td>Predisp\u00f5em \u00e0 queda<\/td>\n<td>Cobrem todo o p\u00e9<\/td>\n<\/tr>\n<tr>\n<td>Tiras apertadas<\/td>\n<td>N\u00e3o marcam o p\u00e9<\/td>\n<\/tr>\n<tr>\n<td>Marcam o calc\u00e2neo<\/td>\n<td>Leve<\/td>\n<\/tr>\n<tr>\n<td>Saltos finos<\/td>\n<td>Anat\u00f4mico<\/td>\n<\/tr>\n<tr>\n<td>Saem do p\u00e9 com facilidade<\/td>\n<td>Seguro<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<strong>AVALIA\u00c7\u00c3O DO PACIENTE<\/strong>\n\n<!-- \/wp:table --><!-- wp:table \/--><!-- wp:paragraph \/-->\n<ul>\n \t<li><strong>Avalia\u00e7\u00e3o neurol\u00f3gica:<\/strong><!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li>Avaliar sensibilidade t\u00e1til, t\u00e9rmica, dolorosa e vibrat\u00f3ria.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li>Se poss\u00edvel, realizar teste com estesi\u00f4metro.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Classificacao_de_Wagner\"><\/span>Classifica\u00e7\u00e3o de Wagner<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:list-item --><!-- wp:table -->\n<figure>\n<table>\n<thead>\n<tr>\n<th>GRAU 0<\/th>\n<th>Neuropatia e\/ou isquemia, sem \u00falcera<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>GRAU I<\/td>\n<td>\u00dalcera superficial<\/td>\n<\/tr>\n<tr>\n<td>GRAU II<\/td>\n<td>\u00dalcera profunda sem abscesso e sem osteomielite<\/td>\n<\/tr>\n<tr>\n<td>GRAU III<\/td>\n<td>\u00dalcera profunda com celulite, abscesso, gangrena subcut\u00e2neo e possivelmente osteomielite<\/td>\n<\/tr>\n<tr>\n<td>GRAU IV<\/td>\n<td>Gangrena \u00famida restrita a podod\u00e1ctilo<\/td>\n<\/tr>\n<tr>\n<td>GRAU V<\/td>\n<td>Gangrena \u00famida em todo p\u00e9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n&#x26a0;&#xfe0f; Nos graus IV e V, a conduta \u00e9 amputa\u00e7\u00e3o.\n<h2><span class=\"ez-toc-section\" id=\"Classificacao_de_risco\"><\/span>Classifica\u00e7\u00e3o de risco<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:table --><!-- wp:paragraph -->\n\nO intervalo entre as avalia\u00e7\u00f5es do paciente diab\u00e9tico est\u00e1 diretamente relacionada ao seu risco de desenvolver p\u00e9 diab\u00e9tico.\n\n<!-- \/wp:paragraph --><!-- wp:table -->\n<figure>\n<table>\n<thead>\n<tr>\n<th>CATEGORIA DE RISCO<\/th>\n<th>CL\u00cdNICA<\/th>\n<th>ACOMPANHAMENTO<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>GRAU 0<\/td>\n<td>Neuropatia ausente<\/td>\n<td>Anual<\/td>\n<\/tr>\n<tr>\n<td>GRAU 1<\/td>\n<td>Neuropatia com ou sem deformidades<\/td>\n<td>A cada 3 a 6 meses<\/td>\n<\/tr>\n<tr>\n<td>GRAU 2<\/td>\n<td>Doen\u00e7a arterial perif\u00e9rica com ou sem neuropatia<\/td>\n<td>A cada 2 a 3 meses<\/td>\n<\/tr>\n<tr>\n<td>GRAU 3<\/td>\n<td>Hist\u00f3ria de \u00falcera e\/ou amputa\u00e7\u00e3o<\/td>\n<td>A cada 1 ou 2 meses<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Tratamento_das_queixas\"><\/span>Tratamento das queixas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:table --><!-- wp:paragraph -->\n\nO tratamento n\u00e3o medicamentoso visa orientar o paciente a manter bons h\u00e1bitos a fim de evitar a progress\u00e3o da doen\u00e7a.\n<figure><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-47.png\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-47.png 540w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-47-300x238.png 300w\" alt=\"\" width=\"540\" height=\"429\" \/>\n<figcaption>(Fonte: BRASIL, 2016).<\/figcaption><\/figure>\n<!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:paragraph \/--><!-- wp:heading {\"level\":3} \/--><!-- wp:table \/--><!-- wp:paragraph \/--><!-- wp:heading \/--><!-- wp:paragraph \/--><!-- wp:table \/--><!-- wp:paragraph \/--><!-- wp:heading {\"level\":3} \/--><!-- wp:heading {\"level\":3} \/--><!-- wp:image \/--><!-- wp:heading {\"level\":3} -->\n<h2><span class=\"ez-toc-section\" id=\"Tratamento_das_lesoes_infectadas\"><\/span>Tratamento das les\u00f5es infectadas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:heading --><!-- wp:paragraph -->\n\n<strong>ANTIBIOTICOTERAPIA EMP\u00cdRICA<\/strong>\n\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\n\n| Superficial | Cefalosporinas de 1\u00aa ou 2\u00aa gera\u00e7\u00e3o OU Amoxicilina + clavulanato OU Clindamicina | | &#8212; | &#8212; | | Profundas | Ampicilina\/sulbactam OU Ceftriaxona + clindamicina OU Ciprofloxacino + clindamicina OU Vancomicina + meropenem |\n\n<!-- \/wp:paragraph --><!-- wp:paragraph \/-->\n\n&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> Na presen\u00e7a de ostemielite, a antibioticoterapia deve ser mantida por 3 semanas.\n\n<!-- notionvc: da93f962-cc32-4d70-8080-a4634cb3e504 -->\n\nAgora j\u00e1 discutimos tudo sobre esse tema e voc\u00ea est\u00e1 pronto para arrasar na aten\u00e7\u00e3o b\u00e1sica e nas provas de resid\u00eancia! Bons estudos.\n<h2><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova\"><\/span>O m\u00e9todo que te aprova<span class=\"ez-toc-section-end\"><\/span><\/h2>\nSe voc\u00ea quer garantir a sua aprova\u00e7\u00e3o nas provas de resid\u00eancia, ent\u00e3o conhe\u00e7a o grupo MedCof e a metodologia que j\u00e1 aprovou <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\">mais de 10 mil<\/a> residentes pelo pa\u00eds. Confira o epis\u00f3dio do nosso podcast<a href=\"https:\/\/www.youtube.com\/watch?v=Onsv-IfiZos\"> papo de aprovado<\/a> em que nossos coordenadores conversam com quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo. Al\u00e9m disso, confira tamb\u00e9m a nossa <a href=\"https:\/\/youtu.be\/IpdXv1GrdBE?si=aZfZF3a8nioxbkab\"><strong>aula completa<\/strong><\/a> sobre o assunto!\n\nhttps:\/\/youtu.be\/IpdXv1GrdBE?si=aZfZF3a8nioxbkab<!-- \/wp:paragraph --><!-- \/wp:list --><!-- wp:list-item -->\n<ul>\n \t<li><strong>Avalia\u00e7\u00e3o neurol\u00f3gica:<\/strong><!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li>Avaliar sensibilidade t\u00e1til, t\u00e9rmica, dolorosa e vibrat\u00f3ria.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li>Se poss\u00edvel, realizar teste com estesi\u00f4metro.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Classificacao_de_Wagner-2\"><\/span>Classifica\u00e7\u00e3o de Wagner<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:heading --><!-- wp:table -->\n<figure>\n<table>\n<thead>\n<tr>\n<th>GRAU 0<\/th>\n<th>Neuropatia e\/ou isquemia, sem \u00falcera<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>GRAU I<\/td>\n<td>\u00dalcera superficial<\/td>\n<\/tr>\n<tr>\n<td>GRAU II<\/td>\n<td>\u00dalcera profunda sem abscesso e sem osteomielite<\/td>\n<\/tr>\n<tr>\n<td>GRAU III<\/td>\n<td>\u00dalcera profunda com celulite, abscesso, gangrena subcut\u00e2neo e possivelmente osteomielite<\/td>\n<\/tr>\n<tr>\n<td>GRAU IV<\/td>\n<td>Gangrena \u00famida restrita a podod\u00e1ctilo<\/td>\n<\/tr>\n<tr>\n<td>GRAU V<\/td>\n<td>Gangrena \u00famida em todo p\u00e9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n&#x26a0;&#xfe0f; Nos graus IV e V, a conduta \u00e9 amputa\u00e7\u00e3o.\n<h2><span class=\"ez-toc-section\" id=\"Classificacao_de_risco-2\"><\/span>Classifica\u00e7\u00e3o de risco<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:heading --><!-- wp:paragraph -->\n\nO intervalo entre as avalia\u00e7\u00f5es do paciente diab\u00e9tico est\u00e1 diretamente relacionada ao seu risco de desenvolver p\u00e9 diab\u00e9tico.\n\n<!-- \/wp:paragraph --><!-- wp:table -->\n<figure>\n<table>\n<thead>\n<tr>\n<th>CATEGORIA DE RISCO<\/th>\n<th>CL\u00cdNICA<\/th>\n<th>ACOMPANHAMENTO<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>GRAU 0<\/td>\n<td>Neuropatia ausente<\/td>\n<td>Anual<\/td>\n<\/tr>\n<tr>\n<td>GRAU 1<\/td>\n<td>Neuropatia com ou sem deformidades<\/td>\n<td>A cada 3 a 6 meses<\/td>\n<\/tr>\n<tr>\n<td>GRAU 2<\/td>\n<td>Doen\u00e7a arterial perif\u00e9rica com ou sem neuropatia<\/td>\n<td>A cada 2 a 3 meses<\/td>\n<\/tr>\n<tr>\n<td>GRAU 3<\/td>\n<td>Hist\u00f3ria de \u00falcera e\/ou amputa\u00e7\u00e3o<\/td>\n<td>A cada 1 ou 2 meses<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Tratamento_das_queixas-2\"><\/span>Tratamento das queixas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:heading --><!-- wp:paragraph -->\n\nO tratamento n\u00e3o medicamentoso visa orientar o paciente a manter bons h\u00e1bitos a fim de evitar a progress\u00e3o da doen\u00e7a.\n<figure><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-47.png\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-47.png 540w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-47-300x238.png 300w\" alt=\"\" width=\"540\" height=\"429\" \/>\n<figcaption>(Fonte: BRASIL, 2016).<\/figcaption><\/figure>\n<!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":3} --><!-- \/wp:heading --><!-- wp:table --><!-- \/wp:table --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:heading --><!-- wp:table --><!-- \/wp:table --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":3} --><!-- \/wp:table --><!-- wp:heading {\"level\":3} --><!-- \/wp:paragraph --><!-- wp:image --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":3} -->\n<h2><span class=\"ez-toc-section\" id=\"Tratamento_das_lesoes_infectadas-2\"><\/span>Tratamento das les\u00f5es infectadas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:heading --><!-- wp:paragraph -->\n\n<strong>ANTIBIOTICOTERAPIA EMP\u00cdRICA<\/strong>\n\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\n\n| Superficial | Cefalosporinas de 1\u00aa ou 2\u00aa gera\u00e7\u00e3o OU Amoxicilina + clavulanato OU Clindamicina | | &#8212; | &#8212; | | Profundas | Ampicilina\/sulbactam OU Ceftriaxona + clindamicina OU Ciprofloxacino + clindamicina OU Vancomicina + meropenem |\n\n<!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph -->\n\n&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> Na presen\u00e7a de ostemielite, a antibioticoterapia deve ser mantida por 3 semanas.\n\n<!-- notionvc: da93f962-cc32-4d70-8080-a4634cb3e504 -->\n\nAgora j\u00e1 discutimos tudo sobre esse tema e voc\u00ea est\u00e1 pronto para arrasar na aten\u00e7\u00e3o b\u00e1sica e nas provas de resid\u00eancia! Bons estudos.\n<h2><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova-2\"><\/span>O m\u00e9todo que te aprova<span class=\"ez-toc-section-end\"><\/span><\/h2>\nSe voc\u00ea quer garantir a sua aprova\u00e7\u00e3o nas provas de resid\u00eancia, ent\u00e3o conhe\u00e7a o grupo MedCof e a metodologia que j\u00e1 aprovou <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\">mais de 10 mil<\/a> residentes pelo pa\u00eds. Confira o epis\u00f3dio do nosso podcast<a href=\"https:\/\/www.youtube.com\/watch?v=Onsv-IfiZos\"> papo de aprovado<\/a> em que nossos coordenadores conversam com quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo. Al\u00e9m disso, confira tamb\u00e9m a nossa <a href=\"https:\/\/youtu.be\/IpdXv1GrdBE?si=aZfZF3a8nioxbkab\"><strong>aula completa<\/strong><\/a> sobre o assunto!\n\nhttps:\/\/youtu.be\/IpdXv1GrdBE?si=aZfZF3a8nioxbkab<!-- \/wp:post-content --><!-- \/wp:list-item --><!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li><strong>Risco para \u00falcera em p\u00e9 diab\u00e9tico:<\/strong><!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li>DM<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Polineuropatia<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Com ou sem deformidade<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Com ou sem doen\u00e7a arterial perif\u00e9rica<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Antecedentes de \u00falcera ou amputa\u00e7\u00e3o<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Perda de sensibilidade protetora plantar<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- \/wp:list --><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li><strong>Indicativos de infec\u00e7\u00e3o em \u00falcera:<\/strong><!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li>Secre\u00e7\u00e3o purulenta<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Odor forte<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Celulite nas bordas<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- \/wp:list --><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li><strong>Avalia\u00e7\u00e3o vascular:<\/strong><!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li>Pulsos bilaterais<!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li>Pedioso<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Tibial posterior<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- \/wp:list --><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>ITB \u2014 \u00edndice tornozelo-bra\u00e7o = PAS supramaleolar \/ PAS do bra\u00e7o<!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li>Recomendado realizar em todos diab\u00e9ticos com &gt; 50 anos.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Normal entre 0,9 e 1,3.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- \/wp:list --><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- \/wp:list --><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li><strong>Avalia\u00e7\u00e3o neurol\u00f3gica:<\/strong><!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li>Avaliar sensibilidade t\u00e1til, t\u00e9rmica, dolorosa e vibrat\u00f3ria.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item --><!-- wp:list-item -->\n<ul>\n \t<li>Se poss\u00edvel, realizar teste com estesi\u00f4metro.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Classificacao_de_Wagner-3\"><\/span>Classifica\u00e7\u00e3o de Wagner<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:heading --><!-- wp:table -->\n<figure>\n<table>\n<thead>\n<tr>\n<th>GRAU 0<\/th>\n<th>Neuropatia e\/ou isquemia, sem \u00falcera<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>GRAU I<\/td>\n<td>\u00dalcera superficial<\/td>\n<\/tr>\n<tr>\n<td>GRAU II<\/td>\n<td>\u00dalcera profunda sem abscesso e sem osteomielite<\/td>\n<\/tr>\n<tr>\n<td>GRAU III<\/td>\n<td>\u00dalcera profunda com celulite, abscesso, gangrena subcut\u00e2neo e possivelmente osteomielite<\/td>\n<\/tr>\n<tr>\n<td>GRAU IV<\/td>\n<td>Gangrena \u00famida restrita a podod\u00e1ctilo<\/td>\n<\/tr>\n<tr>\n<td>GRAU V<\/td>\n<td>Gangrena \u00famida em todo p\u00e9<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n&#x26a0;&#xfe0f; Nos graus IV e V, a conduta \u00e9 amputa\u00e7\u00e3o.\n<h2><span class=\"ez-toc-section\" id=\"Classificacao_de_risco-3\"><\/span>Classifica\u00e7\u00e3o de risco<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:heading --><!-- wp:paragraph -->\n\nO intervalo entre as avalia\u00e7\u00f5es do paciente diab\u00e9tico est\u00e1 diretamente relacionada ao seu risco de desenvolver p\u00e9 diab\u00e9tico.\n\n<!-- \/wp:paragraph --><!-- wp:table -->\n<figure>\n<table>\n<thead>\n<tr>\n<th>CATEGORIA DE RISCO<\/th>\n<th>CL\u00cdNICA<\/th>\n<th>ACOMPANHAMENTO<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td>GRAU 0<\/td>\n<td>Neuropatia ausente<\/td>\n<td>Anual<\/td>\n<\/tr>\n<tr>\n<td>GRAU 1<\/td>\n<td>Neuropatia com ou sem deformidades<\/td>\n<td>A cada 3 a 6 meses<\/td>\n<\/tr>\n<tr>\n<td>GRAU 2<\/td>\n<td>Doen\u00e7a arterial perif\u00e9rica com ou sem neuropatia<\/td>\n<td>A cada 2 a 3 meses<\/td>\n<\/tr>\n<tr>\n<td>GRAU 3<\/td>\n<td>Hist\u00f3ria de \u00falcera e\/ou amputa\u00e7\u00e3o<\/td>\n<td>A cada 1 ou 2 meses<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/figure>\n<h2><span class=\"ez-toc-section\" id=\"Tratamento_das_queixas-3\"><\/span>Tratamento das queixas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:heading --><!-- wp:paragraph -->\n\nO tratamento n\u00e3o medicamentoso visa orientar o paciente a manter bons h\u00e1bitos a fim de evitar a progress\u00e3o da doen\u00e7a.\n<figure><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-47.png\" sizes=\"auto, (max-width: 540px) 100vw, 540px\" srcset=\"https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-47.png 540w, https:\/\/www.grupomedcof.com.br\/blog\/wp-content\/uploads\/2024\/04\/Untitled-47-300x238.png 300w\" alt=\"\" width=\"540\" height=\"429\" \/>\n<figcaption>(Fonte: BRASIL, 2016).<\/figcaption><\/figure>\n<!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":3} --><!-- \/wp:heading --><!-- wp:table --><!-- \/wp:table --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading --><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:heading --><!-- wp:table --><!-- \/wp:table --><!-- wp:paragraph --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":3} --><!-- \/wp:table --><!-- wp:heading {\"level\":3} --><!-- \/wp:paragraph --><!-- wp:image --><!-- \/wp:paragraph --><!-- wp:heading {\"level\":3} -->\n<h2><span class=\"ez-toc-section\" id=\"Tratamento_das_lesoes_infectadas-3\"><\/span>Tratamento das les\u00f5es infectadas<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<!-- \/wp:heading --><!-- wp:paragraph -->\n\n<strong>ANTIBIOTICOTERAPIA EMP\u00cdRICA<\/strong>\n\n<!-- \/wp:paragraph --><!-- wp:paragraph -->\n\n| Superficial | Cefalosporinas de 1\u00aa ou 2\u00aa gera\u00e7\u00e3o OU Amoxicilina + clavulanato OU Clindamicina | | &#8212; | &#8212; | | Profundas | Ampicilina\/sulbactam OU Ceftriaxona + clindamicina OU Ciprofloxacino + clindamicina OU Vancomicina + meropenem |\n\n<!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph -->\n\n&#x26a0;&#xfe0f; <strong>LEMBRE-SE:<\/strong> Na presen\u00e7a de ostemielite, a antibioticoterapia deve ser mantida por 3 semanas.\n\n<!-- notionvc: da93f962-cc32-4d70-8080-a4634cb3e504 -->\n\nAgora j\u00e1 discutimos tudo sobre esse tema e voc\u00ea est\u00e1 pronto para arrasar na aten\u00e7\u00e3o b\u00e1sica e nas provas de resid\u00eancia! Bons estudos.\n<h2><span class=\"ez-toc-section\" id=\"O_metodo_que_te_aprova-3\"><\/span>O m\u00e9todo que te aprova<span class=\"ez-toc-section-end\"><\/span><\/h2>\nSe voc\u00ea quer garantir a sua aprova\u00e7\u00e3o nas provas de resid\u00eancia, ent\u00e3o conhe\u00e7a o grupo MedCof e a metodologia que j\u00e1 aprovou <a href=\"https:\/\/www.grupomedcof.com.br\/blog\/presenca-da-medcof-nas-aprovacoes-em-residencia-medica-no-brasil\/\">mais de 10 mil<\/a> residentes pelo pa\u00eds. Confira o epis\u00f3dio do nosso podcast<a href=\"https:\/\/www.youtube.com\/watch?v=Onsv-IfiZos\"> papo de aprovado<\/a> em que nossos coordenadores conversam com quem pode comprovar na pr\u00e1tica a recompensa de confiar em nosso m\u00e9todo. Al\u00e9m disso, confira tamb\u00e9m a nossa <a href=\"https:\/\/youtu.be\/IpdXv1GrdBE?si=aZfZF3a8nioxbkab\"><strong>aula completa<\/strong><\/a> sobre o assunto!\n\nhttps:\/\/youtu.be\/IpdXv1GrdBE?si=aZfZF3a8nioxbkab<!-- \/wp:post-content -->","protected":false},"excerpt":{"rendered":"<p>P\u00e9 diab\u00e9tico \u00e9 uma infec\u00e7\u00e3o, ulcera\u00e7\u00e3o e\/ou destrui\u00e7\u00e3o de tecidos moles e v\u00e1rios graus de doen\u00e7a arterial obstrutiva perif\u00e9rica de MMII.<\/p>\n","protected":false},"author":10,"featured_media":23789,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[217,115,203,94],"tags":[1261,1260],"ppma_author":[3613],"class_list":{"0":"post-23788","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-aps","8":"category-clinica-medica","9":"category-dermatologia","10":"category-endocrinologia","11":"tag-diabete","12":"tag-ulcera"},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - 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