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Endo-DM Case
Endo-DM Case
3 years PTA, patient experience severe throbbing headache accompanied by nape pain,
vomiting and chest heaviness. She was brought to UST CD- ER where BP was documented to be
210/100. She was given Clonidine 75mcg/SL and was advised admission. Due to financial
constraits, she was discharge against medical advise. No maintenance medication taken.
2 years PTA, she noted passage of bubbly urine and progressive edema. Because of
these and persistent hypertension, she consulted a GP and was found out to be diabetic as well.
She was given Gliclazide, metformin and amlodipine as maintenance medication. She’s unable
to take her medication regularly.
1month PTA, while finishing her laundry, she tripped sustaining bruises and punctured
wound on her L ankle from a misplaced wire. There was no significant pain so she just continued
her laundry.
2 weeks PTA, she noted bluish discoloration on her L ankle with numbness. She applied
liniment hoping that it is just a simple “pasma”. 4 days PTA, she started to have intermittent
fever with increasing numbness on the L leg with necrotic area surrounding the puncture site.
She self medicate with amoxicillin.
Few hours PTA, she had vomiting, severe headache with weakness more on the Left
side. This prompted consult and subsequent admission.
Menopause at age 48 years, (+) FHX : DM and HPN- father, CAD- mother.