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Foot Screen
 
      Semmes-Weinstein Monofilaments
,  Clear Vision Reveals™,  Low Temperature Thermoplastic

 
FOOT SCREEN
 
Grade as indicated below:
 
Right
Left
Grade 
Foot Risk Category (WHO grade)
 
 
0
No Protective Sensory Loss  (Feels Orange 5.07 10 gram level monofilament)    
 
 
1
Loss of Protective Sensation (No deformity or plantar ulcer history) (Does not feel  orange 10 gram level monofilament)
 
 
2
Loss of Protective Sensation and Deformity (No plantar ulcer history) (Does not feel  orange 10 gram level monofilament)
 
 
3
History of Plantar Ulcer (Does not feel  orange 10 gram level monofilament)

 

 

 

 

 


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Last modified: May 20, 2008