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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.
 

Lower Limb Pulses

 
 

Overview

  • Femoral - palpate within the inguinal region, halfway between the pubic symphysis and iliac crest.
  • Popliteal - bend the patient's knee to 90 degrees, gently grasp both sides of the knee joint and palpate using tips of fingers within the popliteal fossa posteriorly.
  • Posterior tibial - palpate posteriorly and inferiorly to the medial malleolus.
  • Dorsalis pedis - palpate lateral to the extensor tendon of the great toe. This can be identified by asking the patient to extend their great toe.

Absent Lower Limb Pulses

    • Causes of Absent Lower Limb Pulses

    • Trauma
    • Atherosclerosis / peripheral vascular disease
    • Abdominal aortic aneurysm
    • Shock
Last updated on November 28th, 2019
 
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