Diabetic neuropathy physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

(Images courtesy of Charlie Goldberg, M.D., UCSD School of Medicine and VA Medical Center, San Diego, California)

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  Diabetes induced neuropathy has lead to large, painless ulcer on bottom of foot. Patient has had toes removed several years earlier due to prior infection.

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  Severe diabetes induced neuropathy has resulted in Charcot foot deformity. This ultimately lead to large painless ulcer on bottom of foot.
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  Diabetes induced neuropathy that has lead to painless ulcer on bottom of foot.
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  Diabetes induced neuropathy led to development of the ulcer shown above. The Q-tip easily passes to the level of the underlying bone, clinical evidence of osteomyelitis. Incidentally, this is not painful to the patient as he is insensate.