Diabetic Foot Exam

Question 1

how to start?

Answer 1

introduce self, wash hands, identify patient explain procedure

Question 2

inspection

Answer 2

look at gait
shoes for wear and tear, insoles and foreign objects
feet for discolouration, temp, hair loss, erythema, ulcers, skin cracks, webspaces, nails, arches

Question 3

palpation of foot includes

Answer 3

bones and joints for swelling, tenderness

Question 4

vascular assessment of the foot includes

Answer 4

temperature, pulses x4 (femoral, popliteal, Posterior tibial and dorsal pedial
cap refill test

Question 5

neurological assessment of foot includes

Answer 5

reflexes- ankle
sensation- cotton wool and monofilament
proprioception
vibration- 128Hz, start distal moving proximally

Question 6

extra tasks in the foot assessment

Answer 6

palpate all pulses

Question 7

what can be offered to end the foot assessment

Answer 7

pin prick testing, temp testing, Ankle Brachial Pressure index, blood glucose