Endocrine exams Flashcards

1
Q

what equipment is needed for a diabetic foot exam?

A

monofilament
Tuning fork (128 hz - small)
Tendon hammer

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2
Q

what may be seen on inspection in diabetic foot exam?

A

peripheral cyanosis - PVD
Ulcers
Gangrene
Missing toes/limbs
hair loss
foot calluses
venous guttering

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3
Q

what is assessed in palpation in diabetic foot exam?

A

temperature
pulses - dorsalis pedis and posterior tibialis

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4
Q

how do you assess sensation in diabetic foot exam?

A

poke hallux, 3rd digit pulp, MTP joints of 1, 3, 5

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5
Q

what is assessed in a diabetic foot exam?

A

Inspection
palpation
sensation
gait + footwear
vibration sense
proprioception
Ankle jerk

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6
Q

what further assessments can be done in diabetic foot exam?

A

BMs
HbA1c
lower limb neuro exam
peripheral arterial exam
venous exam of lower limbs
foot care advice
use diabetic foot risk assessment tool

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