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Diabetic Foot Exam
Diabetic Foot Exam
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Introduction
Greetings
Hand wash
Verify the patient's identity
Explanation of the examination
Obtain consent
Position patient at 45°
Expose patient's lower limbs and remove shoes
Observation
General Observation
Check for deformities
Note any prior amputations
Assess general foot hygiene
Inspect footwear for signs of uneven wear
Closer Inspection
Look for calluses and ulcers
Check for hair loss or skin changes
Note any joint deformations
Look for signs of Charcot foot
Assessment of Vascular Supply
Assess temperature of feet and legs
Check capillary refill time
Assess pulses: dorsalis pedis, posterior tibial, popliteal
Assessment of Neurological Status
Test vibration sensation with tuning fork
Assess proprioception of big toe
Test pressure sensation with monofilament
Assess pain perception
Check ankle reflexes
Assess gait
Observe patient walking for smoothness and symmetry
Conclusion
Summarize findings
Suggest further tests if needed
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