Diabetic foot physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Vishnu Vardhan Serla M.B.B.S. [2]
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Overview
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 Examination
- Vibration
- Joint position sense
Video: Physical Examination Diabetes
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Image: Diabetic Foot Ulcer