Endocrine exams Flashcards
what equipment is needed for a diabetic foot exam?
monofilament
Tuning fork (128 hz - small)
Tendon hammer
what may be seen on inspection in diabetic foot exam?
peripheral cyanosis - PVD
Ulcers
Gangrene
Missing toes/limbs
hair loss
foot calluses
venous guttering
what is assessed in palpation in diabetic foot exam?
temperature
pulses - dorsalis pedis and posterior tibialis
how do you assess sensation in diabetic foot exam?
poke hallux, 3rd digit pulp, MTP joints of 1, 3, 5
what is assessed in a diabetic foot exam?
Inspection
palpation
sensation
gait + footwear
vibration sense
proprioception
Ankle jerk
what further assessments can be done in diabetic foot exam?
BMs
HbA1c
lower limb neuro exam
peripheral arterial exam
venous exam of lower limbs
foot care advice
use diabetic foot risk assessment tool