Tuesday, March 2, 2010

Uncontrolled diabetes leads to OM.


One week ago a 66 year old diabetic male presented to clinic with ulceration at the plantar aspect of the right hallux. + Probe to bone and thus a bone biopsy was performed. Clindamycin was prescribed for the possible infection. Betadine and DSD was then applied to the wound.

Bone biospy results showed trabecular pattern consistent with osteomyelitis. Vascular consult was ordered to assess the blood flow to the toe and clearance for surgery was granted. Patient is scheduled for a hallux amputation of the right foot.

Previously the patient also had a below knee amputation of his left leg in 2006. Patient does not know what medications he takes for his diabetes and admits to not taking his meds consistently.

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