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Diabetic Exam
 
 
 
 
Diabetic Exam
Poor diabetic control may manifest in many different ways, with macrovascular and microvascular complications. The diabetic examination is useful for diagnosing these complications, particularly when it comes to the vascular and neurologic examination of the lower limb.
 

Dupuytren's Contracture

 
 

Overview

    • Look For

    • Fixed flexion deformity of one or more fingers, associated with a nodule or cord over the palm proximal to the deformity.
    • Significance

    • Due to thickening of the palmar and digital fascia, resulting in fibrous band formation and flexion contractures of the MCP and PIP joints.
    • Associations

    • Hereditary Dupuytren’s
    • Diabetes
    • Alcohol excess
    • Smoking
    • Epilepsy
    • Trauma
    • Manual labour
  • Liver disease in the absence of alcohol abuse is not a risk factor for Dupuytren's contracture, rather the presence may be suggestive of alcoholic liver disease.
Last updated on November 28th, 2019
 
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