Abstract
Background: Diabetes is a widespread noncommunicable disease affecting an estimated 463 million adults worldwide in 2019 and will affect 700 million by 2045. Diabetic foot lesions remain a major cause of morbidity in patients with renal failure, especially those on dialysis. Ankle Brachial Index (ABI) may inaccurately assess lower extremity perfusion in patients with highly calcified, no compressible tibial arteries. focused Arterial duplex ultrasound (DUS) of the distal anterior and posterior tibial arteries at the ankle can be readily learnt by novices (nurse/physician) and performed rapidly and accurately for early diagnosis and referral.
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