Gabriela Veronica Carro

• Medical Doctor at Hospital Posadas

The clinical reasoning process for decision-making in medicine is complex and involves multiple factors, including diagnostic probabilities, study characteristics, costs, and patient preferences. This article highlights the role of pre-test probability in calculating the positive predictive value (PPV) and negative predictive value (NPV) of diagnos...

Background Diabetic foot ulcers (DFUs) constitute a complication that occurs in 19% to 34% of patients with diabetes mellitus (DM). The aim of this study is to describe median days to healing, average velocity of wound closure, and percentage of wound surface closed at 3, 6, and 12 weeks through the use of homogenized and lyophilized amniotic membr...

Diabetic foot (DF) is one of the most devastating complications of diabetes mellitus (DM). Infrared thermography has been studied for its potential in early diagnosis and preventive measures against DF ulcers, although its role in the management and prevention of DF complications remains uncertain. The objective of this study was to determine the a...

Introducción: el pie diabético (PD) representa una complicación con elevada morbimortalidad. En Argentina, carecemos de datos acerca de tasas de amputación y mortalidad relacionada a esta patología. Objetivos: describir las características de todos los pacientes adultos con diabetes mellitus (DM) que consultaron por PD durante 3 meses y evaluar su...

Introduction : The diabetic foot (DF) is a complication with high rate of morbi-mortality. There are no data about amputation rates and mortality in Argentina related to this disease. The aim of this study was to describe clinical features of adult patients with diabetes that consulted for a foot ulcer in a 3 months’ period and to evaluate outcomes...

Introducción : El pie diabético (PD) representa una complicación con elevada morbimortalidad. En Ar gentina, carecemos de datos acerca de tasas de am putación y mortalidad relacionada a esta enfermedad. El objetivo de este estudio fue describir las caracte rísticas de todos los pacientes adultos con diabetes que consultaron por PD durante 3 meses y...

Introducción: las clasificaciones en pie diabético (PD) son una herramienta que tienen el objetivo de mejorar la comunicación entre los profesionales, la referencia y contrarreferencia; proporcionar un pronóstico; ayudar en la valoración de las lesiones y contribuir con fines estadísticos. Objetivos: describir las características de los pacientes q...

Diabetic foot osteomyelitis (OM) requires a longer duration of therapy, a greater need for surgery and implies a higher rate of recidivism, a higher amputation risk, and lower treatment success. But do all bone infections behave the same way, require the same treatment, or imply the same prognosis? Actually, in clinical practice we can verify there...

Introduction: The diabetic foot (DF) is a complication with high rate of morbi-mortality. There are no data about amputation rates and mortality in Argentina related to this disease. The aim of this study was to describe clinical features of adult patients with diabetes that consulted for a foot ulcer in a 3 months' period and to evaluate outcomes...

Resumen Introducción: Luego del inicio de la pandemia por COVID-19, se desarrollaron diferentes vacunas, disminuyendo la mortalidad según estudios retrospectivos o con modelos de cálculo. El objetivo fue comparar la mortalidad de pacientes internados con diagnóstico de COVID-19 según su vacunación. Mé-todos: Estudio comparativo observacional longit...

Recomendaciones de diagnostico de osteomielitis en pie diabético

La osteomielitis (OM) es una complicación de las úlceras en pie diabético que habitualmente es subdiagnosticada y tratada en forma tardía e inadecuada. La demora en el tratamiento de estos pacientes aumenta el riesgo de amputación.En esta revisión, se analiza la bibliografía actual acerca del diagnóstico de OM y se realizan recomendaciones en base...

Introduction: Different COVID-19 vaccines were developed in a short time after the beginning of pandemics, reducing mortality, especially in high risk population. This was demonstrated in several studies, mostly retrospective or based in mathematical models. The objective was to compare mortality in inpatients with COVID-19 related to vaccination....

Charcot Neuroarthropaty (CN) is a complication of diabetes with devastating consequences as it produces severe deformities in the foot developing in recurrent ulcers that rise the probability of amputation. There are several diseases mentioned in the literature that have to be considered for the differential diagnosis of CN, often related to the ac...

Introduction: foot examination is essential in patients with diabetes mellitus (DM). The correct evaluation of the foot in the patient who attends diabetes control is key to establish risk factors for the development of ulcers, detect injuries, take preventive measures, make an early referral and educate in foot care. Objectives: in this study, th...

Medical attention of patients with a diabetic foot has been disrupted since de COVID-19 pandemic began, because health systems had to provide care to those patients affected by this disease to the detriment of the control of chronic diseases. Several reports show an increase in amputations during the pandemic, primarily due to the lack of health co...

Diabetic foot infections (DFIs) are one of the most important reasons for lower limb amputations. An adequate approach to the management of DFI implies control of infection using strategies of tissue debridement and empirical antibiotic treatment based on local microbiology. The aim of this study was to determine the bacterial isolates profile and...

6 voices in 10 minutes: Diabetic foot Microbiology of the diabetic foot. Sampling and antibiotic therapy Diabetic foot infections are defined through clinical parameters (edema, erythema, induration, purulent drainage, temperature increase). Once established the diagnosis, it is time for culture and empiric antibiotic therapy. Several culturing t...

At the end of 2019 a novel coronavirus was identified as a cause of pneumonia in Wuhan, China. This emerging disease has caused an unexpected turn in the economy and in society, which has led to the necessity of social isolation and confinement. Diabetic foot consultation was affected by the ongoing situation. The aim of this study was to compare t...

Resumen El ataque de pie diabético tiene una presentación aguda y grave que representa una amenaza para la conservación del miembro afectado e incluso para la vida del paciente. Es un término que surge por la necesidad de facilitar la identificación de aquellos pacientes que requieren intervención urgente, dándole un sentido de urgencia y gravedad,...

Diabetic foot attack has an acute and severe presentation that threatens the affected limb and the patient's life. It is a term that arises from the need to identify those patients that require urgent intervention; it conveys a sense of urgency and severity, reminding the term of "time is tissue". The classic presentation is that of a severe infect...

Several wound classification systems are used to assess diabetic foot wounds. The recommendations for their use depend on the authors and foot associations. In this study, we compared Saint Elian score system, WIfI classification and Texas in 101 patients with foot wounds, and we followed them for a median of 149 days, finding differences both in t...

Introduction: diabetic foot is a chronic complication that occurs in 15% to 25% of diabetic patients. Once it appears, a multidisciplinary team shoud be necessary to care for that patients. Patients suffering from diabetic foot often requires treatment as inpatients. In this context, knowlege about information related to the hospitalization of diab...

The diabetic foot is a complex condition. Along its course, it may require primary health care at the beginning, tertiary health care when more severe complications arise, and hospitalization when specialized management involving complex diagnostic and therapeutic procedures becomes peremptory. Determining frequencies of diabetic foot in hospitaliz...

Si bien el concepto de angiosoma se introdujo a partir de los estudios de Taylor y Palmer en 1987 para prolongar la sobrevida de los injertos en cirugía plástica, no fue hasta 2001 que se describieron los seis angiosomas del pie y comenzaron a utilizarse en estudios de reperfusión de úlceras en pie diabético. Actualmente se pone mayor énfasis en la...