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A 51-year-old male presents to the clinic with a painful ulcer on his left big toe. He reveals that he is type 2 diabetic and has been for 15 years: Nursing Case Study, UOL, Ireland

University University of Limerick (UOL)
Subject Nursing

A 51-year-old male presents to the clinic with a painful ulcer on his left big toe. He reveals that he is type 2 diabetic and has been for 15 years. He complains of having cold and painful feet. An ABPI was taken on a recent visit to his nurse and had a reading of 0.5. The patient also reports that the nurse suspected that he may have osteomyelitis in the distal phalanx of his left hallux.

What would be your treatment process for this patient, from the history taken through to your treatment, management, and possible referral? Be sure to include in the answer: what tests would you carry out, why would you do those tests, and what the results indicate. What an ABPI test is and what a reading of 0.5 means. What your treatment options for this patient would be. What methods you would use to diagnose osteomyelitis.

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