https://ideawaza.com/api.php?action=feedcontributions&feedformat=atom&user=69.25.116.140 2026-09-30T12:55:31Z User contributions MediaWiki 1.46.0 https://ideawaza.com/index.php?title=Archive:Diabetic_Foot_Exam&diff=34423 2007-06-26T16:08:56Z

<p>69.25.116.140: /* Temperature */</p> <hr /> <div>==Inspection==<br /> ===General===<br /> *gait, shoes, heels<br /> <br /> ===Skin===<br /> *vascular insufficiency - hairlessness, pallor<br /> *rubor at pressure points<br /> *skin breakdown (portal for infections)<br /> *'''diabetic dermopathy''' (brown macules) over shins<br /> *infection: cellulitis (erythema, swelling), gangrene<br /> <br /> ===Other===<br /> *webspaces: cracked, infected, ulcers, maceration<br /> *toe nails: dystrophic, in-grown, [[wikipedia:paronychia|paronychia]], [[wikipedia:Onychomycosis|Onychomycosis]]<br /> <br /> ==Palpation==<br /> ===Pulses===<br /> *femoral<br /> *popliteal<br /> *posterior tibial<br /> *dorsalis pedis<br /> <br /> ===Temperature===<br /> *use back of hand, compare shin to feet, bilaterally<br /> *temperature should decrease slightly as you get toward the toes<br /> <br /> ===Other===<br /> *Capillary refill<br /> <br /> ==Ascultation==<br /> *Bruits: femoral, popliteal<br /> <br /> ==Neurological==<br /> <br /> ===Sensory===<br /> *↓ vibration (1st modality to loose, 128 Hz)<br /> *↓ light touch (microfilament)<br /> *↓ pin prick<br /> *↓ proprioception<br /> *↓ temperature<br /> *(loss in glove and stocking distribution)<br /> <br /> ===Autonomic===<br /> *↓ sweating<br /> *dry cracked skin<br /> <br /> ===Motor===<br /> *intrinsic muscle wasting (clawed, hammer toes)<br /> *[[wikipedia:Pes planus|Pes planus]], [[wikipedia:Pes cavus|Pes cavus]]<br /> *'''Charcot joints''' (medial and laterial deviation at subtalar joint)<br /> <br /> ===Reflexes===<br /> *DTR: ↓ ankle jerk<br /> <br /> ==Other OSCE modules==<br /> {{OSCE2}}<br /> [[Category:Medicine]][[Category:OSCE]]</div>

69.25.116.140 https://ideawaza.com/index.php?title=Archive:Diabetic_Foot_Exam&diff=34422 2007-06-26T16:06:38Z

<p>69.25.116.140: /* Inspection */</p> <hr /> <div>==Inspection==<br /> ===General===<br /> *gait, shoes, heels<br /> <br /> ===Skin===<br /> *vascular insufficiency - hairlessness, pallor<br /> *rubor at pressure points<br /> *skin breakdown (portal for infections)<br /> *'''diabetic dermopathy''' (brown macules) over shins<br /> *infection: cellulitis (erythema, swelling), gangrene<br /> <br /> ===Other===<br /> *webspaces: cracked, infected, ulcers, maceration<br /> *toe nails: dystrophic, in-grown, [[wikipedia:paronychia|paronychia]], [[wikipedia:Onychomycosis|Onychomycosis]]<br /> <br /> ==Palpation==<br /> ===Pulses===<br /> *femoral<br /> *popliteal<br /> *posterior tibial<br /> *dorsalis pedis<br /> <br /> ===Temperature===<br /> *use back of hand, compare shin to feet, bilaterally<br /> <br /> ===Other===<br /> *Capillary refill<br /> <br /> ==Ascultation==<br /> *Bruits: femoral, popliteal<br /> <br /> ==Neurological==<br /> <br /> ===Sensory===<br /> *↓ vibration (1st modality to loose, 128 Hz)<br /> *↓ light touch (microfilament)<br /> *↓ pin prick<br /> *↓ proprioception<br /> *↓ temperature<br /> *(loss in glove and stocking distribution)<br /> <br /> ===Autonomic===<br /> *↓ sweating<br /> *dry cracked skin<br /> <br /> ===Motor===<br /> *intrinsic muscle wasting (clawed, hammer toes)<br /> *[[wikipedia:Pes planus|Pes planus]], [[wikipedia:Pes cavus|Pes cavus]]<br /> *'''Charcot joints''' (medial and laterial deviation at subtalar joint)<br /> <br /> ===Reflexes===<br /> *DTR: ↓ ankle jerk<br /> <br /> ==Other OSCE modules==<br /> {{OSCE2}}<br /> [[Category:Medicine]][[Category:OSCE]]</div>

69.25.116.140