The Treatment of Foot Ulcers in Diabetic Patients: Case Study

Table of Contents


The patient, Sarah, is a 28-year-old African American woman with a past medical history of asthma and type 2 diabetes. She admits that she does not check her blood sugar level regularly and takes her medications when she remembers. Her chief complaint is a wound on her left foot got several days ago. No treatment or medical attention was made at once, and the patient used hydrogen peroxide to clean the damaged area. At this moment, a 4-cm lesion is observed, with 7-cm surrounding erythema extended.


Sarah has several serious health conditions, including diabetes complications, foot wounds, fever, and breathing problems. The impact of diabetes on wound growth is not always easy to predict, and such differentials as abscess, osteomyelitis, and atherosclerosis. An abscess is possible because of the impossibility of the diabetic organism to deal with infections, characterized by fever, local pain, and drainage (Chang et al., 2018). The patient has some of the symptoms that cause discomfort. Osteomyelitis is a bone infection, the main symptoms of which are fever, redness, and pain, and the patient meets certain criteria in this case (Giurato et al., 2017). Atherosclerosis is common in diabetic patients as it is characterized by blood vessel damage and the inability to carry oxygen in the body (Poznyak et al., 2020). If it is observed in the lower extremities (LE), numbness and weakness are the symptoms. Sarah admits numbness in her right LE. Shortness of breath, cough and wheezing may be supplementary signs, and the patient reports on her breathing problems as well.

Breathing problems and high blood glucose levels could have such differentials as pulmonary edema, sepsis, and diabetic ketoacidosis. Fever and cough are the signs, the nature of which should be checked. She is a former smoker with uncontrolled diabetes and extremely high sugar in the blood, which may provoke excess fluid in the lungs and the inability to breathe freely. Besides, her asthma history plays a role in the impossibility to detect other symptoms at an early stage. Sepsis is the condition when the body is not able to respond to inflection. Diabetes weakens Sarah’s immune system, which causes changes in mental status (her poor attention to medications), fever, and high blood pressure. Finally, diabetic ketoacidosis occurs when the body lacks insulin, and ketones are produced and influence the bloodstream. Confusion and hyperglycemia are the reasons to consider this differential in the analysis.

Current Medical Diagnosis

At this moment, the medical diagnosis can be given a fast growth of diabetic foot infection that leads to a foot ulcer. This condition is common among diabetic patients when poor or no blood sugar control occurs and causes hyperglycemia. Another critical risk factor is the neglect of taking medications regularly. Finally, no medical wound care and the absence of antibiotics to predict infections after skin damage contributes to the infection progress (Aliakbar et al., 2019). The diagnosis of diabetic foot infection cannot be ignored because delayed treatment may result in lower limb amputation.

Diagnostic Images

To check the condition of the patient and develop a further treatment plan, several diagnostic images are necessary. It is better to start with X-rays (anteroposterior and lateral views) to detect if there is any soft tissue gas or a foreign body that causes smelly drainage and pain (Aliakbar et al., 2019). Magnetic resonance imagining (MRI) helps to identify soft tissue and bone conditions based on gadolinium uptake (Giurato et al., 2017). In the majority of cases, X-rays are enough to detect the area and the quality of damage and identify the next treatment step.

Laboratory Work

Several laboratory tests are necessary to understand the reaction of the body to damage. The first step is to evaluate the wound and send its microbial culture (surface swab) for analysis to check the present infections (Chang et al., 2018). Blood tests should be done to count the number of leukocytes (a complete blood test) and detect the signs of anemia, and blood serum secretion show current glycemic control (Giurato et al., 2017). The fact that the patient has not eaten today contributes to obtaining accurate results.

Plan of Care

Healthcare workers choose different ways to help their patients and manage diabetic foot ulcers. To avoid amputation, it is required to follow pharmacological treatment, surgical debridement, and regular dressing changes (Aliakbar et al., 2019). Local wound care includes drainage of an abscess, surgical resection (if necessary), and dressing with saline or 2% iodine solution during the next three months (every five and then every ten days) (Aliakbar et al., 2019). Antibiotic treatment should help to reduce the spread of infection, but as the patient is allergic to penicillin, amoxicillin is better to replace with tetracycline or aminoglycoside. Regarding the fact of diabetes, close monitoring of blood levels is recommended.


In general, the treatment of foot ulcers in diabetic patients is characterized by several restrictions and precautionary measures. In addition to type 2 diabetes, Sarah is obese and has hypertension. She has to be educated about the importance of monitoring her blood sugar levels and taking metformin regularly to predict the development of infection and heart-related problems. If treatment does not lead to positive results within the next five days, X-rays are used to check the spread of infection, and amputation remains the only option to save the patient’s life.


Aliakbar, A. H., Alsaadi, M. A., & Barrak, A. A. Z. (2019). Evaluation of the surgical and pharmacological treatment of diabetic foot infection: A retrospective study. Open Access Macedonian Journal of Medical Sciences, 7(9), 1499-1504. Web.

Chang, J. W., Heo, W., Choi, M. S. S., & Lee, J. H. (2018). : A single-center retrospective study over 12 years. Medicine, 97(27). Web.

Giurato, L., Meloni, M., Izzo, V., & Uccioli, L. (2017). . World journal of diabetes, 8(4), 135-142. Web.

Poznyak, A., Grechko, A. V., Poggio, P., Myasoedova, V. A., Alfieri, V., & Orekhov, A. N. (2020). . International Journal of Molecular Sciences, 21(5). Web.

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
*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.
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.
Thank you , Excellent work
Customer 453201, June 2nd, 2022
Don't really see any of sources I provided, but elsewise its great, thank you!
Customer 452697, May 8th, 2021
Criminal Justice
The paper was not accused of plagiarism and was written very well. I will let you know the grade once it is graded. Thank you
Customer 452671, April 26th, 2021
Thank you
Customer 453087, March 5th, 2022
I initially had a hard time opening the paper but finally was able to get what i needed.
Customer 453217, October 31st, 2022
Business Studies
Thank you so much! I had to take my dog to the ER and had no time for the assignment. I really appreciate your help! I can't thank you enough! I really appreciate the work and integrity put into it. Thank you for taking it seriously and not bullshiting the paper.
Customer 452815, July 26th, 2021
For some reason I did not get an email that the order was done, but it was on time regardless
Customer 453291, October 16th, 2022
Thank you so much for your attention to this assignment and timeliness.
Customer 453111, November 12th, 2022
English 101
IThank you
Customer 452631, April 6th, 2021
Thank you!
Customer 452545, February 6th, 2021
Thank youuuu
Customer 452729, May 30th, 2021
English 101
thank you for the excellent work
Customer 452883, October 29th, 2021
Customer reviews in total
Current satisfaction rate
3 pages
Average paper length
Customers referred by a friend
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