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Ankle Exam

Skin Inspection

January 1st, 2017


  • Look For

  • Rashes - comment on colour, morphology, size, distribution, symmetry and any secondary changes.
  • Scars - indicative of past trauma or surgery.
  • Erythema - unilateral, bilateral, localised or diffuse.May be due to rash, cellulitis, septic arthritis or tenosynovitis
  • Tip

  • Muscle wasting and shiny skin with reddish discolouration is a very specific for reflex sympathetic dystrophy.

Callosities of the Ankle and Foot

  • Look For

  • Areas of hyperkeratosis - generalised (callus) or sharply demarcated (corn).
  • Significance

  • Calluses form over areas of chronic friction or pressure, providing a hint of the foot's normal posture.
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