What is the focus of the clinical history to evaluate diabetic foot ulcers?

Updated: Oct 15, 2020
  • Author: Tanzim Khan, DPM; Chief Editor: Romesh Khardori, MD, PhD, FACP  more...
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Answer

The history should focus on the signs and symptoms of a diabetic foot ulcer or pre-ulcerative lesion. Symptoms indicative of possible peripheral neuropathy or peripheral arterial insufficiency should also be investigated.

In the diagnosis of diabetic foot ulcers or pre-ulcerative lesions, the following should be taken into account:

  • History of trauma
  • History of puncture wound (with or without shoe gear)
  • History of change in shoe gear
  • History of deformity, either acquired or congenital
  • History of callus or blister
  • History of wound care management
  • History of offloading
  • Local signs of infection
  • Systemic signs of infection

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