Approach to a p atient with diabetic foot
This presentation is the property of its rightful owner.
Sponsored Links
1 / 16

Approach to a P atient with Diabetic Foot PowerPoint PPT Presentation


  • 62 Views
  • Uploaded on
  • Presentation posted in: General

Approach to a P atient with Diabetic Foot . Fajardo , Revie – Garcia, Louise B3-B Dra . Ong -Mateo . General Data. A.B 49/M Filipino Roman Catholic Paranaque City Married Fruit Vendor Date of Admission: Nov 9, 2009. Chief Complaint. Swelling of the left foot

Download Presentation

Approach to a P atient with Diabetic Foot

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Approach to a p atient with diabetic foot

Approach to a Patient with Diabetic Foot

Fajardo, Revie – Garcia, Louise

B3-B

Dra. Ong-Mateo


General data

General Data

  • A.B

  • 49/M

  • Filipino

  • Roman Catholic

  • Paranaque City

  • Married

  • Fruit Vendor

  • Date of Admission: Nov 9, 2009


Chief complaint

Chief Complaint

Swelling of the left foot

Current Working Diagnosis: Diabetic Foot, Left Foot; DM Type 2 poorly controlled


History of present illness

History of Present Illness


Past medical history

Past Medical History

  • Immunizations: unrecalled; BCG

  • Hospitalizations: non-healing wound (lateral aspect of left leg): treated w/ unrecalled antibiotics (1997)

  • hemoptysis: treated w/ quadruple anti-TB therapy(HRZE) Myrin Forte 6 months (approx. 5 yrs ago)

  • Diabetes Mellitus type2 (1997)

  • Maintenance medications: Glibenclamide 500mg od

  • No surgery

  • No allergies


Personal and social history

Personal and Social History

  • 16 pack year smoking 17 y.o.- 25 yo—2packs/day

  • Alcohol drinker almost every night 2 bottles of beer

  • Mixed diet composed of meat, fish, vegetables and fruits cautious with sweets

  • Exercise is with his sidecar (padyak) used in selling fruits

  • Sleeps for 4-6 hours a day


Family history

Family History

  • (+)DM: sister- deceased due to ‘heart attack’ (52 years old)

  • Father deceased- sudden death

  • (+)cataract: mother

  • (-) asthma, HPN, CA


Review of system

Review of System

GENERAL SURVEY:

( - ) fever

( - ) weight loss

( - ) weakness

( - ) fatigability

( - ) malaise

SKIN:

( +) 4 inch-scar on the lateral aspect of the left leg

( - ) itchiness

( - ) color change

( - ) rash

HEENT:

( - ) icterus

( - ) ear pain/ discharge

( - ) nasal discharge

( - ) deafness

( - ) lymphadenopathy

PULMONARY:

( - ) dyspnea

( - ) shortness of breath

( - ) cough

( - ) sputum production

( - ) hemoptysis

( - ) wheezing


Review of system1

Review of System

CARDIAC:

( - ) chest pain

( - ) easy fatigability

( - ) paroxysmal dyspnea

( - ) orthopnea

( - ) palpitations

( - ) syncope

( - ) edema

( - ) hypertension

GI:

( - ) nausea

( - ) vomiting

( - ) retching

( - ) hematemesis

( - ) melena

( - ) hematochezia

( - ) belching

( - ) distention

( - ) diarrhea

( - ) constipation

GU:

( + ) polyuria

( + ) incontinence

( + ) erectile dysfunction

( - ) anuria

( - ) dysuria

( - ) hesitancy

MUSCULOSKELETAL:

( - ) rigidity

( - ) flaccidity

( - ) weakness


Review of system2

Review of System

NEUROLOGIC:

( - ) numbness

( - ) tingling

( - ) burning

( - ) sharpness

( - ) motor weakness

ENDOCRINE:

( + ) polydipsia

( + ) polyphagia

( - ) heat/cold intolerance

HEMATOPOIETIC:

( - ) bleeding tendency

( - ) bruisability


Physical examination

Physical Examination


Physical examination1

Physical Examination


Physical examination2

Physical Examination


Physical examination3

Physical Examination


Physical examination4

Physical Examination


Physical examination5

Physical Examination


  • Login