Diabetic foot examination by Dr Ankur

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  • Опубліковано 25 сер 2024

КОМЕНТАРІ • 28

  • @ankurgarg3134
    @ankurgarg3134  Рік тому

    Check out the video on shoulder examination! In this video, we explain the different steps involved in a shoulder examination, including inspection, palpation, and movement.
    ua-cam.com/video/ERskTOC5LR4/v-deo.html

  • @reminders1445
    @reminders1445 2 роки тому +34

    - Intro
    1 - I would like to examine your knees
    2- I want you to undress from the thigh downwards/I can see you are adequately exposed
    3- I will have a chaperone with me to ensure your privacy
    4- Is that alright?
    - Inspection
    1 - Inspection of leg: redness, swelling, hair loss, shiny skin.
    2- On dorsum of both feet, no thick skin, pallor, ingrowing toe nails , amputation
    3 - Now I will touch your toes. Check between toes. No fungal infection between toes. No thick skin, hard corn
    4- Please raise your rt leg, relax, raise your lt leg, relax. No pressure ulcer on heels
    5- Please bend both legs for me. No skin changes at the back of the legs
    - Palpation
    1- I'll check the temp of your legs. If you have pain, let me know. No local rise of temp, no tenderness.
    2- Now I'll check the pulses. Distal pulses are present
    3- Capillary refill time is normal
    - Tests
    1- I'll be touching different parts of your leg with this cotton wisp. Please close your eyes and say yes when you feel it. This is how it feels.
    2- I'll be doing the same thing with this neuro pin now. Please close your eyes and say yes when you feel it. This is how it feels
    3- I'll be vibrating this tuning fork and placing it in different parts of your legs. Please close your eyes and say yes when you feel it.This is how it feels.
    4- Now I'll check your joint position sense. Show him. Close eyes. Tell me if it's up or down
    5- Tell him to open eyes after each After each: Pt has loss of fine sensation/ pain sensation below mid shin in both legs. Vibration sensation is intact in pt. Joint position sense is intact
    - Motor
    1- Now I'll check your motor system. Bulk appears to be normal in both legs. Ideally, I'd check with measuring tape
    2- Now I'll check the tone in both legs. Please go floppy. Tone is normal in pt
    3- Now I'll be checking the power. I'll be pressing your legs, Press against my force. Bend both legs. Same. Then feet. Power is normal in pt
    4- I'll be tapping on diff parts of your leg with this hammer. Don't worry It won't hurt. Please go floppy ( Knee, Achilles). Reflexes are normal

  • @DrDinooshDeLivera
    @DrDinooshDeLivera 2 роки тому +6

    Really helpful, concise videos; thank you!

  • @aidrousyusuf5735
    @aidrousyusuf5735 6 років тому +12

    Thank you very much Dr Ankur really appreciated your effort

  • @Larahhhx
    @Larahhhx Рік тому +4

    Adequate exposure + Chaperone + Consent
    Skin color-abnormalities, hair distribution, nails, amputation
    - Check btw toes ( Fungal infection )
    - Raise right leg, then left
    - Bend both legs
    Palpate:
    Temperature
    Tender
    Pulses + CRT
    Cotton whool then pin then tuning fork, feel or no?
    Pull/push toes, feel or no?
    Motor activity and tone,
    - roll legs
    - elevate legs
    - circular foot
    Power
    - push against my hand in all directions
    - bend legs and push against my hand
    - Foot
    Hammer ( Tap on patella and achilles bilat )

  • @_jianthuilungkamei_3643
    @_jianthuilungkamei_3643 2 роки тому +1

    🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥

  • @_jianthuilungkamei_3643
    @_jianthuilungkamei_3643 2 роки тому +1

    🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥🔥

  • @ankurgarg3134
    @ankurgarg3134  3 роки тому +3

    Get in touch with us for details regarding PLAB 2 Course
    Email: info@aspire2plab.com
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    Whatsapp: +44 7438 559952
    Hurry! Book Now: links.aspire2plab.com 🔥🔥

  • @armedwithmedicine775
    @armedwithmedicine775 2 роки тому +2

    👌

  • @kathrineahmed7211
    @kathrineahmed7211 2 роки тому +1

    Thank you

  • @kapilsubedi3014
    @kapilsubedi3014 5 років тому +5

    I think we just use monofilament for sole. Do we have to test with cotton wisp for fine sensation ove sole?

  • @minamaallah50
    @minamaallah50 6 років тому +2

    Very much appreciated Dr. Ankur. How to check for antalgic or high stepping gate here? Should we examine gait within the diabetic foot examination station?

  • @RobertChase865
    @RobertChase865 2 роки тому +2

    Thank you for your video...However, Audio quality is very poor...As paid subscribers are also watching those videos as well...Please improve audio quality.
    Thank You.

    • @ankurgarg3134
      @ankurgarg3134  2 роки тому +1

      Noted, we are improving our quality. You can checkout our new videos

    • @RobertChase865
      @RobertChase865 2 роки тому

      @@ankurgarg3134 Thank You.. 🙂

  • @tahminarashid4227
    @tahminarashid4227 3 роки тому +1

    it will be told what is the case?
    or i have to identify by myself?

  • @drrayman946
    @drrayman946 3 роки тому +2

    Is it normal to vocalise negative findings ? In my previous training we were told to omit negative findings from the presentation and only focus on positive findings. If no positive finding it would be adequate to say the findings were normal.

  • @fajfaj11
    @fajfaj11 2 роки тому +1

    dont we do fine touch and cotton wool on dermatomal fashion and ask if its same on both legs?

  • @sahbikhaledtaieb3320
    @sahbikhaledtaieb3320 Рік тому

    Well PLAB2 allows only 8 minutes, including presentation and C/O check and all, so ... too long for that. But yeah well detailed, thanks

  • @gabrielesimionato1210
    @gabrielesimionato1210 5 років тому +3

    Any double vision?

    • @williambeasley2582
      @williambeasley2582 4 роки тому

      Yes I am recovering from a diabetic wound and after 7 weeks of antibiotics IV treat ment I am having difficulty with double vision for about a week. I have informed. the home health nurse and have a doctor's visit next Monday

  • @riarkp5363
    @riarkp5363 2 роки тому +1

    CAC Kachnaar Guggul- These herbal tablets are prepared from ingredients like Kachnaar bark, Shunthi, Pippali, Haritaki, Bibhitaki, etc that are good for ovarian cyst. As the use of these tablets reduces the size of cyst and finally remove it out from the body. The signs and symptoms related to such women are treated with the regular use of the tablets.

  • @MAPAKanimations
    @MAPAKanimations 2 роки тому +2

    Wrong examination

    • @cyberteron
      @cyberteron 4 місяці тому

      Then make the right video

  • @ruturajchavada
    @ruturajchavada 4 роки тому +10

    I thought he was dummy 😂 sorry

  • @wajihkhan8689
    @wajihkhan8689 4 роки тому +4

    Complete examination is wrong. U dont even know how to immobilize the big toe before checking propeioception.