Wednesday, September 3, 2008

Examination for a diabetic foot

Examination for a diabetic foot

By inspection:


See the color of the skin( any pigmentation)
Any muscle wasting (motor innervations)
If there is dryness of the skin
Comment on hair distribution
Describe any ulcer (type, if there is any discharge))
Any scars
See if there is any deformity
1-hammer toes
2-hallux valgus
3-charcot joints
if there is any amputation
any infection

by palpation
any tenderness
the temperature
take the pulse
see if there is any sensation loss (sensory innervations))

why the ulcer affect the foot af DM people??
1-arterial insufficiency
2-peripheral neuropathy
3-impaired immunity
4-high glucose level and this a good environment to bacteria to live in

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