Diabetic foot

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Diabetes mellitus Main page

Patient Information

Type 1
Type 2

Overview

Classification

Diabetes mellitus type 1
Diabetes mellitus type 2
Gestational diabetes

Differential Diagnosis

Complications

Screening

Diagnosis

Prevention

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3]

Overview

Diabetic foot physical examination

Inspection

  • Dilated veins
  • Scar, Sinuses
  • Shiny skin
  • Hair distribution
  • Areas of Pigmentation
  • Areas of discolouration
  • Varicose vein
  • Ulcers
  • Brittle or broken nail
  • Fungal infection

Palpation

  • Temperature (increase temperature- deep vein thrombosis, decrease temperature-ischemia)
  • Tenderness (squeeze calf muscle and achilles tendon for tenderness)
  • Pulsation- Dorsalis pedis
  • Capillary filling time
  • Ulcers in pressure areas like ball of great toe, base of fifth metatarsal, posterior aspect of heel

Motor examination

  • Nutrition/Bulk
  • Tone
  • Power
  • Reflexes

Sensory

  • Vibration
  • Joint position sense

Video: Physical examination diabetes

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Video: Diabetic foot care

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Image: Diabetic foot ulcer

Diabetic foot ulcer

References

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