Diabetic Foot Care

Question 1

What is the risk classification system for Diabetic Foot Risk Stratification?

Answer 1

0: No neuropathy
1: Neuropathy w/ NO neuropathy
2: Neuropathy w/ evidence of PVD
3: Hx of foot ulceration

Question 2

PT presents to your clinic with neuropathy and evidence of foot deformity; what risk classification is this?

Answer 2

2

Question 3

Where are the most common locations of diabetic ulcers?

Answer 3

Medial aspect of the ankle (Venous)

Bottom 1/3rd of calf to the entire foot (Arterial)

Question 4

What are some PE findings which would indicate an ARTERIAL INSUFFICIENCY?

Answer 4

Px
Pulselessness  (delayed cap refill)
Paresthesia / Paralysis
Pallor
Poikilothermia

Hair loss
Shiny, tight skin appearance

Question 5

If your PT has multiple toes with gangrenous tissue; which amputation would be indicated?? (Dorsal and plantar aspects UNAFFECTED!)

Answer 5

Transmetatarsal Amputation

Question 6

What are some of the early S/Sx diabetics commonly PTs present with (diabetic foot ulcer)?

Answer 6

Night Cramps

Paresthesias at NIGHT