Question

PN105C concept map #2 PAD m Ripley is a 32 yr old male with a history of type I diabetes mellitus. He has been insulin pendent since age 12 yrs. of age. He is in good health watches his diet and exercises regularly. She is slightly overweight and was diagnosed with hypertension approx.. 4 yrs. ago.se smoke and seldom drinks. Mr. Ripley's son was scheduled to drive him to the store on Saturday, but had to cancelli Ripley decided that since he needed only a few items he would walk the 5 blocks to the store. Since he was dressed for the store he forgot to change into his usual walking shoes. Upon returning home Mr. Ripley noticed he had a blister on the ball of his right foot. It wasn't causing him any discomfort. Two days later he found that the blister had developed into a large open wound that was bluish black in color. Over the next 2 days she carefully cleaned the wound & applied a sterile dressing. The wound didn't heal, but became progressively worse & painful. Mr. Ripley's son encouraged him to seek medical attention. Mr. Ripley's wound is approx. 1" in diameter with necrotic tissue. The right dorsalis pedal & posterior tibia pulses are absent. Bilateral feet are cool to touch with toes on the right foot cyanotic. Vitals B/P 130/80, RR18, P 95 & regular, Temp 99.8 axillary. Ht. 62" Wt 145 lbs. Labs Lab Values Hb 15.1 g/dL Het 40% RBC 3.4 million/mm) . Na+ 139 meg/L K+ 4.3 meq/L. CL 108 meq/L Glucose fasting 210 gm/dL - BUN 10 meg/L 11.900 Lymphs 16% Monos 3% Neuros 80% Bans 4% EOS 1% Plt 318,000/mm Cr 0.7 meg/L started on a broad spectrum antibiotic giver IV glucose to maintain BS at Mr. Ripley was started on a broa 80-100 mg/dL. Moist saline weeks the wound healed Moist saline soaks were ordered to assist with wound debribement. After several ound healed nicely and pt. was discharged home.

Answer 1

Mr Ripley has developed diabetic foot due to his long history of diabetes mellitus. He has been first given and checked for medications and proper treatment but was not able to heal it. Hence his wound was debrided.

It is very important for the diabetic patient to take care of their foot as they are very prone to get diabetic foot due to various different complications. It will ultimately lead to foot debridement making it difficult for them to come back to their healthy state.