Case scenario 1: A 61-year-old male with PMH of DM who complained of right foot pain onset 4 days ago.
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Get it written →Case scenario 1: A 61-year-old male with PMH of DM who complained of right foot pain onset 4 days ago. He reported noticing a blister on his right foot that progressively became red. He worked in the field and was wearing tight shoes. You ordered the initial workup remarkable for leukocytosis with left shift (WBC 18.0, neutro abs 9.34), elevated CRP, and ESR. No fracture or dislocation was seen from the XR of the right foot. You are the assigned provider for this patient.
Answer the following questions:
Subjective
What other relevant questions should you ask regarding HPI?
What are the risks factors of this patient?
Objective:
In doing a focused assessment, what pertinent findings are you looking for?
What tests or procedures (Lab or Diagnostic) would you perform or order for this patient?
Diagnosis
It is important to rule out potentially life-threatening conditions related to this patient’s clinical presentation. Complete the table below.
Clinical Signs and Symptoms
Deep Vein Thrombosis Necrotizing Fasciitis
What are the top 3 differential diagnoses you would consider for this patient, and what is your rationale?
What is the patient final diagnosis?
Plan:
What is the gold standard treatment for this patient?
What is your disposition? Admit vs. discharge? Discuss your rationale.
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