Initial Podiatry Assessment

Initial Podiatry Assessment – Outpatient Reason for Referral: [outline the primary reason for referral to outpatient podiatry including source and clinical context, e.g. diabetic foot screening, non-healing ulcer, footwear concerns, or community clinic referral] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Presenting Foot/Lower Limb Concerns: [describe pain, ulceration, deformity, gait issues, footwear problems, or any presenting symptoms reported by the patient or referring clinician] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Medical and Surgical History: [include relevant comorbidities such as diabetes mellitus, hypertension, HIV, peripheral vascular disease, osteoarthritis, previous amputations, or lower limb surgeries] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Functional Status and Mobility: [describe the impact of foot or lower limb issues on walking distance, use of assistive devices, balance, ability to access taxis or clinics, or need for home support] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Footwear and Orthoses: [document current footwear use (e.g. flip-flops, takkies, formal shoes), condition, appropriateness for foot shape and mobility needs, and any orthotic use from state or private sources] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Podiatric Examination: [include findings from physical examination including foot posture, skin condition (e.g. fissures, callus, dryness), nail health, signs of infection, pulses, capillary refill, temperature, monofilament sensation, or observed gait] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Assessment Tools Administered: [include monofilament testing (10g), Doppler/ABPI where available, pressure risk tools (e.g. Inlow score), or plantar pressure assessment] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Client Goals: [document client’s stated or implied goals regarding comfort, pain reduction, wound healing, mobility improvement, footwear support, or home care management] (Only include if explicitly mentioned in transcript or context, else omit section entirely.) Summary of Assessment: [summary of podiatric findings and clinical interpretation, e.g. high risk foot in poorly controlled diabetic, plantar ulcer secondary to pressure, hallux valgus causing footwear issues] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own assessment or impression.) Plan / Recommendations: [include proposed management such as wound debridement, dressing advice, referral to diabetic clinic, education on foot hygiene, footwear modification, pressure offloading, or follow-up review] (Only include if explicitly mentioned in transcript or context, else omit section entirely. Never come up with your own plan or recommendations.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from the transcript.) (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information included in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.)