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Personal Details
OBSERVATION
Temperature / Hydratation
Skin appearance
VISUAL Symptoms - ULCER
Description
Foot structure - TOE Deformities
Foot structure
Arch Deformities / Ankle Deformities
Pain Sensation - PAD risk
VISUAL Symptoms - Varicose Veins - Venual Insufficiency
VASCULAR ASSESSMENT
TEST - Pedal Pulses
Weak / Absent - PAD risk
Arterial TEST - Doppler Ultrasound
VENUAL valve Insufficiency TEST - Doppler Ultrasound
It also a good test to be done when suspected DVT till more assessment can be done by vascular team!
At Popliteal Fossa
Venual backflow OK and NO Venuos reflux = Patent Valve function
Calf compression - Shooting/Prolonged Roar (Venual backflow OK)
Thigh compression - There is no audible signal
Thigh relief - There is slight audible roar signal
At Posterior Tibial artery
ForFoot pressure - Shooting/Prolonged Roar (Venual backflow OK)
TEST - Capillaries Refill - Arterial deficiency
TEST - Buergen's - Arterial deficiency
Raise leg up 30-45 sec. Right / Left
Dangling leg down Right / Left
TEST - ABI - Arterial deficiency
ABI = 0.91-0.99 - Boarder line
ABI < 0.9 - PAD Risk
ABI = 1-1.4 Normal
ABI > 1.4 Calcification
TEST - Oedema
RIGTH
LEFT
Venual syst. insufficiency
Pitting oedema presented at ankles to mid‑calf.
Finger pressed into the swollen area for 1-3 sec. then lift away, it leaves a visible dent (“pit”) in the skin that slowly fills back out.
Lymphatic syst. insufficiency
Skin fold Cannot lift/pinched. The skin feels thick, tight, stuck.
NEUROLOGICAL ASSESSMENT
TEST - Sensation 10g Monofilament
TEST - Sensation Vibration sense
(128 Hz tuning fork) at hallux / malleolus.
TEST - Sensation Temperature
USE OF PATIENT INFORMATION
To receive continuity and quality of care this information is recorded and may be shared with other members of the health care team involved in your care. We do not share your information with anyone who is not directly involved in your care.
PLEASE READ AND SIGN TO:
Confirm the information you have provided is accurate and that you understand this information will be held securely to ensure safe and effective care.
CONSENT FOR TREATMENT
Professionals are legally and ethically obliged to obtain informed consent prior to any treatment. At the first session, the professional will ask further questions and assess your condition. All necessary information and details will be discussed with you so that you can make an informed decision.
You will be given time to consider the treatment options and what is suitable for you - Your consent can be withdrawn at any time
A professional may use sharp instruments and other equipment that may cause minor damage to the skin surface
I confirm that I have read and understood the information above, that the details I have provided are accurate, and that I consent to my information being held securely and to treatment as described.
I accept the Terms and Conditions and Privacy Policy
After your consultation our practice normally is to write to your GP for good communication.
We use clinical photographs of the feet to monitor changes over time and to support your treatment. Images are stored securely as part of your clinical record and handled in accordance with UK GDPR.
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