A 55 year old male came to opd who is daily wage worker came with Swelling over left 2nd toe since 20 days Black discoloration over left 2nd toe since 20days
A 55 year old male came to opd who is daily wage worker came with CHEIF COMPLAINTS: Swelling over left 2nd toe since 20 days Black discoloration over left 2nd toe since 20days HISTORY OF PRESENTING ILLNESS: patient was apparently asymptomatic 20 days back . then he developed swelling over left great and 2 nd toe followed by which ulcreation occurred which was sudden on onset gradually progressive associated with pain over on and off dull aching type . The pain is decreased on medication . also blackish discoloration of left and 2nd toe which was sudden on onset and progressive. HISTORY OF PAST ILLNESS: no H/O of fever no H/O of trauma no H/O of discharge from wound H/O of similar complaints in the part over dorsum of left foot A known case of diabetes since 3 years A known case of diabetes since 1 year No history of T.B , epilepsy No history of blood transfusions. No history of previous surgeries PERSONAL HISTORY: Appetite: normal appetite Non vegetarian Bowel and Bladder h