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Diabetic legs examination (Neuropathy screening (Checking absent dorsalis…
Diabetic legs examination
Inspection
Inspect the skin on all areas of the lower legs and feet
Check behind the heels and over the balls of the feet for dry, cracking skin and fissures
Assessing the gait. That's checking how the patient walk around
Check between the toes and examine each toenail for length, colour, thickness, debris, odour, separation from the nail bed and pain. Note the character of the skin changes on the leg and foot
Documenting any changes in colour and texture of the skin
Neuropathy screening
Checking absent dorsalis pedis or posterior tibial pulses cking
vibration using 128Hz tuning fork
Vascular
Dermatological examination
Ingrown nails adges
Absence of hair
Check dry skin
History
Check pain or any altered sensation in the feet
Check if the patient has had any foot problems since their last assessment.
Biomechanical assessment
Check Patient’s inability to see or reach his/her feet
Decreased vision, gait imbalance
Check diminished joint mobility
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