Summary

Diagnosis

NAME:

41 year old, female, r/o Nasik

k/c/o DM since 3 years, diagnosed when she had injury to the left ___ followed by non-
healing of wound

Baseline HGT: 280-300mg/dl. She was started on Tab. Metforming (500mg) + Tab.
Glimepiride (1mg)

She continued OHAs throughout. According to her blood sugar was controlled.

Currently admitted with wound (spontaneous) over left foot which became infected and
associated with foul smelling discharge. She had to come to emergency for pain and
swelling of right foot.

No h/o trauma to foot

Underwent debridement of wound on 30/07/17 (Right Foot)

She also has black discoloration of lateral part of foot with small ulcer over left ankle

No h/o loss of sensation, she can feel the difference between hot & cold ________

H/o Hypertension since 3 years. She is on Tab. Amlodipine 5mg + Tab. Atenolol 50mg

No h/s/o IHD/ CVA/ CKD

H/o dimunition of vision both eyes +

Diabetes history- k/c/o DM since 3 years, diagnosed when she had injury to the left ___
followed by non-healing of wound

Baseline HGT: 280-300mg/dl. She was started on Tab. Metforming (500mg) + Tab.
Glimepiride (1mg)

She continued OHAs throughout. According to her blood sugar was controlled.

1
Past History: Not significant

Family history:

NO h/o IHD /CVA /DKD

Personal History

Dietary history: attached

O/E

Weight

Height

BMI

BP

Pulse

AN +

Obesity +

ST +

2
INVESTIGATIONS

FBS

PLBS

HBA1C

SR.ALBUMIN

SR.CREAT 1.2

SGOT /SGPT 33/14

Na (mEq/L) 135
K (mEq/L) 4.3
SR. Cholesterol

Sr. TG

B/L LL AV Doppler

Right __________________________ showing normal color flow, velocity & show expected
broadening of waveform

Right DPA not visualised due to dressing

Diffuse wall calcification & thickening

Diagnosis: