THE DIABETIC FOOT

THE DIABETIC FOOT

Gillian Harkin Podiatrist

Foot Problems In Diabetes

? Ischaemia ? Neuropathy ? Foot Deformity ? Combination ? Infection

Ischaemic Foot

? Absent Pulses ? Cold ? Cyanotic/pale ? Dry, shiny skin ? Lack of hair ? Atrophied nails ? Intermittent Claudication ? Rest pain ? Gangrene

Vascular Assessment

? Test ? Palpate Pulses ? Doppler ? Capillary Refill Time

? Observe ? Skin Quality Changes ? Temperature Gradient ? Colour Changes

Neuropathy

Peripheral Neuropathy

SENSORY 10g monofilament

MOTOR Visual

AUTONOMIC Visual

Sensory Neuropathy

? Numb ? Tingling/shooting

pains/pins and needles ? Charcot Foot

Motor Neuropathy

? Deformity ? High pressure areas ? High medial

longitudinal arch ? Claw toes ? Callus/ corns

Autonomic Neuropathy

? Warm ? Dry skin ? Fissures ? AV shunting ? Prominent veins ? Oedema ? Palpable, bounding

pulses

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