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Case Study

The case study presents a 55-year-old female patient, Mrs. Pushpa, who has developed a diabetic foot ulcer following an injury to her right great toe. She exhibits symptoms such as swelling, pain, and discharge from the wound, alongside a history of increased thirst and urination. The treatment plan includes dietary modifications, physical exercise, and medication to manage her diabetes.

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PATRICK ROSHAN A
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0 views18 pages

Case Study

The case study presents a 55-year-old female patient, Mrs. Pushpa, who has developed a diabetic foot ulcer following an injury to her right great toe. She exhibits symptoms such as swelling, pain, and discharge from the wound, alongside a history of increased thirst and urination. The treatment plan includes dietary modifications, physical exercise, and medication to manage her diabetes.

Uploaded by

PATRICK ROSHAN A
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Case study 07/17/2025

Socio demographic status


Name : Mrs. Pushpa

Age : 55

Gender : female

Adress : Anakaputhur

Education : 8th standard

Occupation : housewife
Chief complaints

history of injury to the right great toe after
slipping on the stairs while walking

swelling on the wound site × 2 weeks

pain from the wound site× weeks

Discharge from wound 1 week
History of presenting illness

The patient was apparently normal 2 weeks
before,followed by a history of injury to the right great toe

pain on the wound site

Onset : sudden

Duration 2 weeks

Character:dull aching pain

But while walking intermittent sharp pain
History of presenting illness

Radiation : No

Associated:Redness warmth at the wound site

Aggravating and Relieving factor: walking ,running and
giving pressure on foot

Relieved on taking rest

Severity mild to moderate

On scale of 1 to 10 6/10
History of presenting illness

Swelling:

Site: 1st toe of Right foot

Onset: Gradual

Duration: 2 weeks

Shape: Oval to... (unclear last word)

Size: 2x2 cm

Surface: Smooth
History of presenting illness

Radiation: No significant spread

Associated: Redness, Pain & warmth of the site

Aggravating: NO

Relieving: NO

Severity: Mild to moderate swelling
History of presenting illness

Discharge from wound:

Site - 1st toe of Rt foot.

Onset - sudden

Colour - yellowish

Consistency - thick

Odour - non foul smelling

Amount - moderate
History of presenting illness
Positive history

History of increased thirst

History of increased frequency of urination

History of loss of appetite x 1 week

Negative

No h/o fever, chills, rigor

No h/o wt loss, night sweats

No h/o fatigue
Past History

Dressings were done on the wound in (1) week

No h/o DM for 14 yrs

No h/o Heart / CV disease

No h/o kidney disease

No h/o hospitalization

No h/o similar complaint
Personal History

Diet - Mixed

Sleep pattern - Normal

Bowel & Bladder habits - Normal

Appetite - Decreased

No addiction to alcohol or smoking
Systemic examination

CVS- S1 and S2 heard; no murmur.

RS- Normal vesicular breath sound heard.

Abdomen- No organomegaly, scars and sinus
with flank free.

CNS- No Sensation felt in lower limb.
Investigation
■ OGTT ■ Urine microalbumin
■ FBS ■ Xray chest
■ PPBS ■ ECG echo
■ HbA1C ■ Fundal examination
■ Lipid profile-TC/HDL/LDL/TGA. ■ Doppler’s study
■ Renal
parameter-BUN/S.Creatinine
■ Thyriod function test
■ Urine examination.
Provisional Diagnosis

With all his elicited history, the
diagnosis is of Diabetic Foot ulcer.
Treatment

Diet modification

Physical exercise

Oral hypoglycemic agent- Metformin,
Glimipride.

Insulin
Advise and care
Intervention to the family:

Look for similar case in Family and treat
them.
Intervention to the community:

Look for similar case in Community and
treat them.
National programmes

NPCDCS( National program for prevention and control of cancer,
Diabetes, CVS and Stroke)

Aim:

To reduce the burden of Non-communicable disease.

To promote healthy lifestyle.

To ensure the availability of affordable diagnostic and treatment services.

To improve public awareness.

Objectives:

Prevention and control of DM

Strengthening the health and infrastructure.

Survullience and data collection.
THANK YOU!

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