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Sadie Juruli, 64 yrs. old, community leader retired pension, indigenous australian, smoke 15 cigarettes a day, type 2 diabetes, hyperlipidaemia, hepertension, growing vege in garden, (health history) recurrent respiratory infections, lives with husband retired on pension, daughter aged 32 y.o., 3 grandkids aged 16, 15, 10 y.o. Patient was brought by daughter to the emergency dept. for assessement with large sore surrounded by callous formation on the ball of her foot, no pain. Dr diagnosed an infected diabetic neuropathic foot ulcer. on assessement, her foot ulcer has irregularly shape, red at the base with eschar at the top right and evidence of tunnelling at 10 oclock, slight pungent odour and on receiving the lab report there is pseudomonas in the woudn. Pt. reports no pain, vital signs T 38.C, BP 128/90, P 84: RR 18., BMI 28, Additonal info: Pt partial hearing loss left ear (wears hearing aid), does not drink cares for grandchildren when their mother is away; uses walking stick when foot is sore.
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