The diabetic foot examination: A positive step in the prevention of diabetic foot ulcers and amputation

Abstract

This paper proposes to introduce a method of performing the diabetic foot examination through introduction of a modified version of the cardinal techniques of examination (inspection, palpation, peripheral vascular or neurologic assessment, and auscultation), more consistent with the sequence taught in physical diagnosis classes in medical schools. The modified sequence should reduce physician time while improving efficiency and effectiveness, utilizing a physical examination sequence model with which the physicians are familiar and can easily adopt and apply in a consistent manner. Regardless of the technique employed, this paper hopes to remind primary care providers of the importance of incorporating a diabetic foot examination or screening tool as part of their practice.