Diabetic Foot Exam

Question 1

What to look for on inspection

Answer 1

GAIT

Look at shoes - uneven wear or foreign objects

Feet - Hairlessness, pallor, decreased sweating, redness, skin ulcers, infection

look at toenails

check temp and CRT

Question 2

Palpation for diabetic foot

Answer 2

Palpate bones and joints of the feet and ankles and watch patients face

Question 3

Pulses for diabetic foot

Answer 3

palpate femoral, popliteal, posterior tibial, dorsalis pedis

Question 4

Reflex

Answer 4

ankle jerk

Question 5

Sensation for diabetic foot

Answer 5

Light touch eyes closed and then pressure with a monofilament on pulp of hallux, and then 1,3,5 metatarsal

Pin prick and temp describe only

Proprioception

feel temperature

vibration with tuning fork

Question 6

Present diabetic foot exam

Answer 6

Today i completed a diabetic foot exam on this patient. On general inspection they were comfortable at rest. on palpation there was no tenderness, sensation was intact in both feet, to conclude, this is consistent with a normal diabetic foot exam, to complete I would examine the patients lower limbs neurologically and vascular and woudl carry out a fasting/random blood glucose and a Hba1c blood test