#204 Diabetic Foot Infections & Osteomyelitis: 5 Pearls Segment
Core IM | Internal Medicine Podcast
Core IM Team
4.8 • 1.2K Ratings
🗓️ 1 April 2026
⏱️ 36 minutes
🧾️ Download transcript
Summary
Why can these infections be tricky? How to diagnose osteomyelitis at the bedside? Do we always need IV vs oral antibiotics? And the best for last: Simple, practical wound care strategies for medical students, residents, and clinicians who want a clear, usable approach.
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02:15 | Pearl 1: Pathophysiology
08:20 | Pearl 2: Diagnosis
16:35 | Pearl 3: Treatment
20:35 | Pearl 4: Antibiotics
27:39 | Pearl 5: Wound Care
Tags: CoreIM, Internal Medicine, Medical Education, Diabetic Foot Infections, Osteomyelitis, Foot Ulcer, Wound Care
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Transcript
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| 0:00.0 | In medicine, it's never just about looking up something, right? It's about doing it in the middle of |
| 0:05.3 | everything else, pages, calls, notes, charts. That's what I like about DocsGPT from Doximity. |
| 0:10.9 | The developers worked side by side with practicing doctors to understand real workflows and |
| 0:15.5 | design DoxGBT to live right inside the Doximity app. So it's a one place go-to where I can ask clinical questions, get the bottom-line summary |
| 0:24.6 | up front, upload large files, even an entire chart, right, and get a summary. |
| 0:29.3 | I can also use that same app to call patient families using the Doxivity ID or even send a fax, right? |
| 0:34.9 | All in one place, it's HIPAA compliant and it's all right there when you |
| 0:38.3 | need. And it just like fits really nicely in the way we actually practice, right? So if you want |
| 0:42.7 | smarter answers, smoother workflows, really built for clinicians in mind, check out DocsGBT and |
| 0:48.0 | Doximity app or you can visit DoxGBT.com. And thankfully, Doximity will always be free for |
| 0:53.7 | physicians, nurse practitioners, physicians and assistants and medical students. And with thankfully, Doximity will always be free for physicians, nurse practitioners, |
| 0:55.6 | physician assistants, and medical students. And with that, we'll get back to the episode. |
| 0:59.4 | I often describe diabetic foot ulcers as many times being the tip of the iceberg. |
| 1:03.9 | You see this wound on the bottom of the foot. It's like, oh, that doesn't look too bad. |
| 1:08.1 | One of the things about to remember about diabetic foot infections and diabetic |
| 1:12.0 | patients as a rule is they've been turned as the great masquerader. Welcome to the Cori and |
| 1:19.2 | Five Pearls podcast, bringing you high-yield evidence-based pearls. I'm Dr. Shorajrametti and I'm joined |
| 1:24.1 | by. Hi, everyone. I'm Colby Wile Lagan. I'm an internal medicine resident at BIDMC. |
| 1:30.3 | Today we're tackling diabetic foot infections and foot osteomyelitis, a topic that feels routine, |
| 1:36.2 | but is anything but simple. Yeah, and I think one of the reasons why, at least for me, I feel like |
| 1:41.1 | I haven't clarified a lot of the pain points that come up with this topic is because I think there's just a bunch of different specialties that kind of own |
| 1:47.5 | it, right? So it's kind of easy to defer to like whatever podiatry or infectious disease or |
... |
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