A 54-year-old male presents to the office with complaints of increased urination and weight loss for one month. However, there is no history of vomiting or burning micturition. His urine examination was negative for leukocyte esterase and WBCs. Contrast-enhanced Ct scan of thorax and abdomen was negative for any disease process. Further examination reveals the presence of non-healing ulcers around the great toe and the absence of sensation. He mentions having his socks mildly soaked sometimes after wearing shoes. He is a smoker with a pack-year of 16. HbA1C was found to be 13%, and culture shows the presence of enterococcus infection.
Insightful Case Scenario
B DIABETIC FOOT ULCER
Why u mention smoker?
If i am not wrong!
Smoking results in Peripheral vasoconstruction
Again enhancing DM with Peripheral vascular diseases leads to low blood flow and delayed wound healing
DM foot ulcer
May be Diabetic patient Diagnosis for RBS or FBs
Non healing arterial( pressure) diabetic foot ulcer.
Diabetic foot ulcer
From my side added
Treatment involves early proper wise use of antibiotics along with early Hyperbaric oxygen therapy it will be helpful and necessary only in Peripheralvascular disease scenario otherwise not necessary because it is costly.
Earlier, earlier, earlier…. to prevent complications cellulitis, Necrotizing Fasciitis and it becomes worst if antibiotic resistant results in sepsis and to save life ends in Amputation life long disability!
Diabetes with complications
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