3) Hamid Akbari is a 64-year-old man with a history of diabetes mellitus comes to your office with an ulcer on his left leg below the knee for the last two weeks. He has had ulcerations of the skin of...

B & C


Extracted text: 3) Hamid Akbari is a 64-year-old man with a history of diabetes mellitus comes to your office with an ulcer on his left leg below the knee for the last two weeks. He has had ulcerations of the skin of his legs intermittently for several years that all resolved with local care and generally have not been painful. He said that this time his ulcer has been painful for the last two weeks and he feels weak and tired since he develops this ulcer. In physical exam, the ulcer area is erythematous, warm and tender. His temperature is 37.40c (99.3oF). a. Based on Hamid's clinical history and physical finding, what would be your diagnosis? What additional information/assessments may help to confirm your diagnosis? The patient's diagnosis is diabetic ulcer. Some information that helps me confirm this would be his ulcerations with inflammation that began to occur along with his history of DM. Ulcers are a common condition seen in diabetic patients. HSC4558 Pathophysiology II Assignment 4 C Group # Date: Names: b. Explain the pathogenesis of Hamid's condition. What is the most common cause of his condition? High blood sugar for a prolonged period of time can cause local inflammation usually in the lower body areas, which can then turn into ulcerations. c. What would be the complications of Hamid's condition? It could become easily infection and even loss of the foot or leg. d. What is your treatment plan? Offloading the wound, daily saline, as well as debridement when necessary and antibiotic therapy.