ABSTRACT
Inspection The examiner should insist on removal of the shoes and socks or stockings even if the patient is reluctant, as it is not uncommon to see an active ulcer or even gangrenous changes, of which the patient is totally ignorant. One should look for neuropathic changes (Fig. 6.1) like dry skin, fissures, deformities, callus, abnormal shape of foot, ulceration, prominent veins, and nail lesions. A careful attention should be given to the interdigital spaces (Fig. 6.2). A significant ischemia is characterized by loss of hair on the dorsum
All that you need is a pair of sensible hands and eyes
Fig. 6.1: Feet showing neuropathic changes
of foot and a dependent rubor (Fig. 6.3). I always use a mirror to show the patient his/her plantar surface as most of them have not seen it for ages. The inspection of feet should be done at every clinic visit.
