Diabetic Foot Examination

Introduction0/7

• Greetings
• Hand wash
• Verify the patient's identity
• Explanation of the examination
• Obtain consent
• Position patient at 45°
• Expose patient's lower limbs and remove shoes

Observation0/10

• General Observation
  • Check for deformities
  • Note any prior amputations
  • Assess general foot hygiene
  • Inspect footwear for signs of uneven wear
• Closer Inspection
  • Look for calluses and ulcers
  • Check for hair loss or skin changes
  • Note any joint deformations
  • Look for signs of Charcot foot

Assessment of Vascular Supply0/3

• Assess temperature of feet and legs
• Check capillary refill time
• Assess pulses: dorsalis pedis, posterior tibial, popliteal

Assessment of Neurological Status0/5

• Test vibration sensation with tuning fork
• Assess proprioception of big toe
• Test pressure sensation with monofilament
• Assess pain perception
• Check ankle reflexes

• Assess gaitObserve patient walking for smoothness and symmetry

Conclusion0/2

• Summarize findings
• Suggest further tests if needed