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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.
 

Foot Deformities

 
 

Charcot Foot

    • Look For

      Progressive destruction of bones and joints of the foot with fracture, dislocation and subluxation.
    • Inflammation (early) - erythematous, swollen, warm, tender foot
    • Deformity - most commonly manifesting as midfoot collapse (rocker-bottom foot)
    • Ulceration - overlying the deformity
    • Significance

    • Secondary to peripheral neuropathy with inciting trauma. Two-thirds of patients with Charcot foot suffer from diabetes.

Claw Toe

    • Look For

    • Flexion of the proximal and distal interphalangeal joints of the great toe with metatarsophalangeal extension.
    • Associated With

    • Rheumatoid Arthritis
    • Diabetes
    • Neuromuscular disorders
Last updated on November 28th, 2019
 
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Associated Diseases
BETA

Other Polyneuropathies
Neuromuscular Junction
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