Diabetic Foot Exam

Question 1

what would you inspect in a diabetic foot exam

Answer 1

gait
shoes
feet - in between toes, temp

Question 2

what would you palpate in a diabetic foot exam

Answer 2

bones + joints in foot for pain

Question 3

vascular exam in a diabetic foot exam

Answer 3

pulses - posterior tibial + dorsalis pedis (popliteal if you can’t feel tibial)
capillary refill

Question 4

neurological exam in a diabetic foot exam

Answer 4

reflexes - ankle jerk
sensation - light touch, monofilament on 1st, 3rd, 5th metatarsal head + along back of foot (6 points)
proprioception
vibration (start at 1st MTPJ + move distally until present)

Question 5

what would you offer in a diabetic foot exam

Answer 5

pin prick testing
ankle brachial pressure index
Hb1Ac