Diabetic foot History

Name
Age
Sex
Occupation
Residence
Marital status
Date of admission

C/o

Break down of skin continuity for 1month

skin breakdown

swelling

colour change

manifestations of inflammation (erythema,warmth, and swelling)

presence of pus

:Pain

Local pain may originate from bone, joint and soft tissue including skin and subcutaneous tissue

Generalized pain in both feet suggests neuropathy.

Diffuse pain in a single foot suggests ischaemia.

Abnormal Sensations :pins and needles (paraesthesiae) ,unpleasant tingling (dysaesthesiae), tightness (as if a constricting band is around the foot), cold ,heaviness or numbness.

History of Diabetes

Type of diabetes

Duration of diabetes

Type of hypoglycaemic drugs (insulin or oral hypoglycaemics) and Compliance .

Systemic Review and filling the gap

Past Medical History

Past diabetic foot history: history previous ulcers and treatment ,Amputations(major or minor) ,peripheral angioplasties and peripheral arterial bypasses.

History of Other Diabetic Complications

Retinopathy (proliferative, previous laser therapy,vitrectomy, cataract)

Nephropathy( proteinuria , renal impairment ,renal replacement therapy or renal transplant)

Cardiovascular complications(angina, heart failure ,myocardial infarction,coronary artery angioplasty or coronary artery bypass)

Cerebrovascular complications (transient ischaemic attack or stroke)

Serious illness (e.g. cancer, rheumatoid arthritis, etc.),accident , injuries ,hospital admissions or operations.

History of angiography ,angioplasty and bypass surgery

Family History

FH of HYPERLIBIDAEMIA -HTN- IHD

Drug History

DRUGS: Asprine clopidogril statin

Social History

Occupation

Number of cigarettes smoked per day

Number of units of alcohol per day

Psychiatric illness

home circumstances(type of accommodation, lives alone, lives with friends or relatives).