Diabetes Lower Limb Exam

Question 1

What does the patient need to expose?

Answer 1

Socks and shoes
-Expose one knee at least

Question 2

What are the X3 main steps?
(Examine BOTH feet)

Answer 2

-Inspection
-Palpation
-Sensation

(Look, Feel, Move)

Question 3

Inspection

Answer 3

Examine between toes, feet, palmer aspect, toe nails, ulcers, erythema, DVT, pallor, colour
-callouses- individuals with diabetes bare weight on the wrong areas of the feet
-Footwear- have they been worn specific areas

Question 4

Palpation

Answer 4

Temperature
Pulses- posterior tibialis and dorsalis pedis
Peripheral Oedema
-Cap refill- circulation measurement

Question 5

Sensation

Check both feet and compare

Answer 5

Use the 10mg mon filaments to check sensation at X5 points of the feet (BOTH)

(X3 Heads and X3 big toes)

Question 6

Micorfilament 10mg

Answer 6

touch the 1st, 3rd and 5th metatarsal heads
-then 2 points on plantar aspect of the foot