| Inspection |
| Dermatologic |
| Skin status – color, thickness, dryness, cracking |
| Sweating |
| Infection – check between toes for fungal infection |
| Ulceration |
| Calluses/blistering – hemorrhage into callus? |
| Musculoskeletal |
| Deformity (eg, claw toes, prominent metatarsal heads, Charcot joint) |
| Muscle wasting (guttering between metatarsals) |
| Neurologic assessment |
| 10 g monofilament + 1 of the following 4 |
| Vibration using 128 Hz tuning fork |
| Pinprick sensation |
| Ankle reflexes |
| VPT |
| Vascular assessment |
| Foot pulses |
| ABI, if indicated |
