Nobody downloaded yet

Ischemic Ulcer in a Diabetic Patient - Case Study Example

Comments (0) Cite this document
Summary
 The study discusses the case 65-year-old John presented to the hospital with a history of an ulcer over the lateral malleolus of the left leg for four weeks. The study analyses the physical examination of the patient and the assessment of the ulcer…
Download full paperFile format: .doc, available for editing
GRAB THE BEST PAPER92.8% of users find it useful
Ischemic Ulcer in a Diabetic Patient
Read TextPreview

Extract of sample "Ischemic Ulcer in a Diabetic Patient"

Download file to see previous pages Other important findings in the history include the presence of intermittent claudication of the left lower limb for one year. John is a chronic smoker. He decreased smoking since one year after the onset of claudication symptoms, following advice from a physician. However, he has not been able to completely quit smoking. During the current visit to the hospital, there is no history of fever or any other symptoms. The patient complains that the onset of ulcer started after he began to wear new slip-on shoes with a narrow toe box. The patient reported being allergic to penicillin. There is no history suggestive of occupational injury, trauma, varicose veins, previous history of lower limb wounds/ulcers/gangrene, history of amputations and history of any other surgeries. There is no family history of similar ulcers either. The patient is not suffering from any collagen diseases. He is not on any anti-inflammatory drugs or steroids.
The condition of the patient is stable. He is afebrile. He looks well nourished. Vitals signs are stable. A systemic examination is within normal limits. The ulcer is located over the lateral malleolus of the left leg. The size of the ulcer is 3cm in length, 2 cm in width and about 0.5 cm in depth. The borders are regular and the wound appears punched out and clean. The color of the ulcer is yellowish. There is minimal granulation tissue. The exudate from the ulcer is mainly serious and minimal. The surrounding skin appears pale, non-edematous, shiny and has decreased hair. Dorsalis pedis pulsation appears normal.
Lower extremity ulcers are very common in patients with diabetes and in fact, these are the most common causes for limb amputation in diabetic population (Armstrong and Lavery, 1998). Factors which contribute to the development of ulcers in the diabetic population are diabetic neuropathy, peripheral arterial disease and structural deformity (Armstrong and Lavery, 1998).   ...Download file to see next pagesRead More
Cite this document
  • APA
  • MLA
  • CHICAGO
(Ischemic Ulcer in a Diabetic Patient Case Study, n.d.)
Ischemic Ulcer in a Diabetic Patient Case Study. Retrieved from https://studentshare.org/health-sciences-medicine/1556752-cased-based-essay-treatment-rationale-and-management-of-the-iskemic-ulcer
(Ischemic Ulcer in a Diabetic Patient Case Study)
Ischemic Ulcer in a Diabetic Patient Case Study. https://studentshare.org/health-sciences-medicine/1556752-cased-based-essay-treatment-rationale-and-management-of-the-iskemic-ulcer.
“Ischemic Ulcer in a Diabetic Patient Case Study”, n.d. https://studentshare.org/health-sciences-medicine/1556752-cased-based-essay-treatment-rationale-and-management-of-the-iskemic-ulcer.
  • Cited: 0 times
Comments (0)
Click to create a comment or rate a document

CHECK THESE SAMPLES OF Ischemic Ulcer in a Diabetic Patient

Non-ischemic dilated cardiomyopathy

...Non-ischemic dilated cardiomyopathy Abstract A case of non-ischemic dilated cardiomyopathy in a 37 year old male who underwent mitral valve annuloplasty has been reviewed both before and after the surgery. Although the patient suspected his conditions as attributable to his fall from his boat and the resultant impact on his right ribs, it was found that the disease was due to his chronic alcohol consumption, addiction to drugs and tobacco. In this connection, literature on the diagnosis and treatment of cardiomyopathy has been reviewed. Along with this, the philosophy of osteopathic medicine in general and its role in the non-invasive treatment of cardiac diseases especially...
24 Pages(4250 words)Research Paper

Medical Prescription for a Diabetic Patient in Prison, Educating Doctors

...Supplementary Prescribing Case Study of a diabetic patient in prison Clinical Management Plan Introduction Medical prescription is among the most common and fundamental ways of treatment for a patient. Drug treatment is a primary care that is offered to about 60 to 70 per cent of patients. Nevertheless, prescribing is a significant constituent of primary care associated with needless unnecessary or wasteful undertaking. According to a number of health care commentators, repeated prescription is likely to bring about complications. As per the statistics indicated by patients.co.uk, about 66 percent of prescriptions amount to particular area problems that are repeatedly...
7 Pages(1750 words)Essay

Diabetic Foot Ulcer Infection Prevention

...Diabetic Foot Ulcer Infection Prevention Diabetic foot ulcers continue to be a pervading health dilemma that predominantly leads to amputation (Lavery, Peters, & Armstrong, 2008; Schaper, Apelqvist, & Bakker, 2012). Ulceration was likewise pinpointed as among the most prevalent health conditions that afflicts people reportedly diagnosed with diabetes mellitus (Dorresteijn, Kriegsman, Assendelft, & Valk, 2012). The need to apply the most effective and appropriate intervention continues to be a challenge to health care professionals and seem to stall improvements in diabetic foot care management. Various studies have actually aimed to determine whether increased education for diabetic patients on foot care management would actually... ),...
5 Pages(1250 words)Essay

Diabetic patient

...? Diabetic Patient Diabetic Patient Treating diabetes has become one of the most significant challenges for the healthcare providers around the globe. Approximately 3 million people are affected by the disease in UK alone while there is substantial majority which does not even know about their association with diabetes (What happens when you have diabetes?, 2012). Hence it is important to critically analyze the different affecting variables for diabetic patients while investing the most appropriate medications. This paper aims to study the importance of diabetic...
5 Pages(1250 words)Assignment

Need a teaching paper for a diabetic patient (portion control)

...? Diabetes type II Introduction My patient was a 52 year old Spanish female with the initials M.E. She had come to me for assistance on how to keep a balance diet and portion control. She was complaining of Chest pain caused by Diabetes type II. As a bilingual person I was able to do some teaching on diabetes and diet (portion control) with diabetes. I began by preparing a teaching plan about diabetes type II. I felt that education about diabetes type II was important for her current and future health. Patient education Diabetes type II is a metabolic disorder that is associated with high...
5 Pages(1250 words)Assignment

Needs Assessment of the Diabetic Patient

...Needs Assessment of the Diabetic Patient You're Needs Assessment of the Diabetic Patient Introduction Diabetes can be a severely crippling and dehabilitating disease. Of course research has determined that there are two types, Diabetes I and Diabetes II. These two different forms have similarities as well as differences the main difference being that diabetes II can not be treated with insulin therapy while Diabetes I can be treated in this way. In light of this fact, Diabetes II is the more serious of this form of illness as it can result in more pronounced complications within the physiological workings of the human body (Rubin 1999). Diabetes II commonly occurs in adulthood which has been found to be even more complicated... that...
8 Pages(2000 words)Essay

Diabetic Foot Ulcers in a Smoker Patient

...Diabetic Foot Ulcers in a Smoker Patient Abstract Diabetic foot is one of the common yet preventable complications of diabetes that shows increased risk of development because of the presence of certain risk factors. These risk factors include smoking as the highest contributing factor, due to the negative effect on the vascularity of the body. Identification and proper prevention and treatment are essential in the prevention of diabetic foot. Also routine checkups and awareness programs are needed in order to prevent such rates from increasing. There is an expected increase in the future cases of diabetes around the...
11 Pages(2500 words)Assignment

Peptic Ulcer

...efficient than anti secretory non-eradicating therapy in preventing recurrent bleeding from peptic ulcer. PROGNOSIS Upper gastrointestinal bleeding (haematemesis) occurs in nearly 15 to 20% of patients with peptic ulcer disease. It is the commonest indication for surgery. Perforation of a peptic ulcer, in duodenal ulcer, the risk of perforation is nearly 60% and is less in antral or lesser curvature ulcers. Perforation of a peptic ulcer leads to chemical and or bacterial peritonitis, which is a surgical emergency. Peptic ulcer disease causes gastric outlet obstruction in nearly 5 to 8% of cases; which...
2 Pages(500 words)Essay

Diabetic

...the social support can improve the psychological well being of the patient (Schwartz, 2000). The relationship that exists among social support life stress, patient’s locus of control and the blood glucose control become evaluated in individuals with diabetes mellitus, using the objectives measures of the psychosocial variables. Fasting Blood Sugar (FBS) and Glycosylated Hemoglobin (Hgb A-1C) control measures become taken at two regions for them to check the problems of the psychosocial variables on the change in diabetes control. A decrease in the social support leads to the worsening of the long term glycosylated hemoglobin control over time (Hellier, 2009). According...
12 Pages(3000 words)Essay

Role of a nurse in nutrition management of diabetic patient

...nephropathy can occur. Damage to the nerves attributed to the disease can decrease sensitivity to sensations form limbs, often increasing the risk for foot ulcers and gangrene which can eventually lead to amputations. Nerve damage can also cause postural hypotension, gastrointestinal issues, and erectile dysfunction. Type 2 diabetic patients are also a major risk for suffering other complications of their disease including cardiovascular diseases. This is attributed to the damage caused by the high blood glucose levels on the blood vessels which can lead to blockage. Coronary heart disease may develop which manifests symptoms like angina and unfortunately can also lead to myocardial...
40 Pages(10000 words)Literature review
sponsored ads
We use cookies to create the best experience for you. Keep on browsing if you are OK with that, or find out how to manage cookies.

Let us find you another Case Study on topic Ischemic Ulcer in a Diabetic Patient for FREE!

Contact Us