Sarah’s Symptoms and Medical Diagnoses: Diabetic Foot Ulcer

Table of Contents

Introduction

Sarah Smith is the patient that sought medical help with the wound to the top of her left foot after she scraped it on the pavement several days ago. Sarah denies any other injury, fever, or chills but has been experiencing generalized pain in the wounded foot and foul-smelling drainage over the past twenty-four hours, which she has been sanitizing with hydrogen peroxide. The patient did not seek medical attention since obtaining the injury and is unclear about her last tetanus vaccination. This paper aims to analyze Sarah’s symptoms and medical diagnoses, list existing differentials for her current problem, order certain diagnostic images and laboratory work, as well as propose a comprehensive plan of care.

Body

The primary examination of the skin area with the wound shows the evident signs of the diabetic foot ulcer caused by an injury. It is complicated with foul-smelling discharge and painful skin due to delayed help-seeking (“Frequently asked questions,” 2020). A simple abrasion is also not considered as the patient’s PMH marks positive for DM II. This proves the wound’s failure to heal for several days and the complications that follow. The undertreatment of diabetes, as in Sarah’s case, causes the blood glucose to remain high, preventing the white blood cells from functioning correctly, thus, lessening the body’s ability to fight bacteria and close the wound. The fact that Sarah is African American and used to be a smoker adds to the condition deterioration. The ulcerated malignant melanoma is less likely for Sarah because of the protective effects of melanin in her skin due to her being African American.

Considering the foul-smelling drainage from the wound, a blood infection might occur. Such diagnostic scanning as an x-ray should be ordered to strictly determine the tissue damage severity and search the areas of pus discharge. Moreover, to avoid further complications, blood tests must be taken for bacterial culture, including a Gram stain for infective organisms and staining for fungal cultures (“Wound and skin infections,” 2020). Additionally, the antimicrobial susceptibility test should be taken to predict the bacteria’s sensibility to particular medications, which helps prescribe appropriate antibiotics. The latter will appear necessary to stop the spread of bacteria and prevent the infection (Altoé et al., 2019). Based on the blood tests and x-ray results, the antibiotics can be only topical for topical treatment or intravenous medications therapy in a more severe case. If a foot ulcer is positive, to reduce the possibility of foot amputation, the wound must be cleaned thoroughly, dead skin and tissue removed, and the off-loading of the pressure area must be performed. All the above must be complemented by managing blood glucose for the wound to heal.

Conclusion

To conclude, three possible differentials were considered in the patient’s case, the most probable of which is the diabetic foot ulcer caused by physical trauma and insufficient blood glucose maintenance. The probability of such a condition is reinforced by Sarah being African American and a smoker in the past. The wound fails to heal, and the tests must be conducted to exclude the blood infection, such as x-ray scanning and tests for bacterial culture, a Gram stain, staining for fungal cultures, and antimicrobial susceptibility. Antibiotics should be implemented based on the results of the test, and meanwhile, the wound should be cleaned, dead skin removed, and off-loading of the area should be conducted. Thus, the wound will be well-maintained while waiting for the results to state a precise diagnosis.

References

Altoé, L. S., Alves, R. S., Sarandy, M. M., Morais-Santos, M., Novaes, R. D., & Gonçalves, R. V. (2019). . PloS One, 14(10), e0223511. Web.

Frequently asked questions: Diabetic foot ulcers. (2020). Regents of the University of Michigan. Web.

Wound and skin infections. (2020). American Association for Clinical Chemistry. Web.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works
Receive a 100% original paper that will pass Turnitin from a top essay writing service
step 1
Upload your instructions
Fill out the order form and provide paper details. You can even attach screenshots or add additional instructions later. If something is not clear or missing, the writer will contact you for clarification.
Pro service tips
How to get the most out of your experience with Online Academic Experts
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Management
Thank you!!! I received my order in record timing.
Customer 452551, February 9th, 2021
History
Don't really see any of sources I provided, but elsewise its great, thank you!
Customer 452697, May 8th, 2021
Nursing
Thank you
Customer 453087, March 5th, 2022
Business and administrative studies
awesome job
Customer 453201, June 24th, 2022
Education
N/A
Customer 453057, May 23rd, 2022
Other
Thank you , Excellent work
Customer 453201, June 2nd, 2022
Nursing
Impressive writing
Customer 452547, February 6th, 2021
Professions and Applied Sciences
Thanks. This helps a lot. Was a bit late but some cushion was given.
Customer 453015, February 10th, 2022
Nursing
The writer was timely and proficient. I had to ask for a revision, but I got it back quickly with no other issues. Would use this essay writing service again
Customer 452441, November 14th, 2021
Psychology
Came in as promissed. Good paper.
Customer 453027, January 6th, 2022
History
Looks great and appreciate the help.
Customer 452675, April 26th, 2021
English 101
Thank you for this excellent analysis of the Alchemist.
Customer 453213, June 15th, 2022
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat
Live ChatWhatsApp