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Subjective:
|
|
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Presents today for diabetic foot exam?
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|
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PMH:
|
|
|
Objective:
|
|
|
Dorsalis pedis pulses are- Right
|
left
|
|
tibial pulses are graded at- right
|
Left
|
|
Digital hair growth is- Right
|
Left
|
|
CFT with the leg elevated- Right
|
Left
|
|
Evidence of ischemic skin changes?
|
Temperature, Texture, Turgor is
|
|
Diabetic Neurologic Exam:
|
|
|
Patellar tendon reflex is- Left
|
Right
|
|
Achilles tendon reflex is- Left
|
Right
|
|
Babinski reflex is- Left
|
Right
|
|
5.07 monofilament test displayed
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for both feet
• • •
|
|
Sharp-dull sensation- Left Foot
|
Right Foot
|
|
Soft touch sensation is- Left Foot
|
Right Foot
|
|
Vibratory sensation is- Left Foot
|
Right Foot
|
|
Proprioception is
|
|
|
Assessment:
|
|
|
Diabetes
• • •
|
|
|
Plan
|
|
|
Plan:
• • •
|
|
|
Diabetic foot education performed.
|
Comments
|
|
advised to have diabetic foot exam annually
|
Comments
|
