PATHWAY DM DENGAN VENOUS ULCER

DIABETES
MILITUS

Distal sensory Autonomik Periphereal

neuropathy neuropathy vascular disease

Small muscle Loss of Increased

wasting musde sweating periphetal blood
Loss of protectiv
atrophy flow
sensation
Distal sensory
neuropathy
Dry skin Distended foot
varies warm foot
Foot deformities dry

Increased foot callus

pressure

Foot at risk

Repertitive trauma
unperceived injury

Foot ulcer