A 60 year-old female patient presents in clinic with a suspected ulcer on her left big toe. She reveals that she is a type II diabetic and has been for over 15 years. She complains of having cold, painful feet. Upon examination, the patient has very co

A 60 year-old female patient presents in clinic with a suspected ulcer on her left big toe. She reveals that she is a type II diabetic and has been for over 15 years. She complains of having cold, painful feet. Upon examination, the patient has very cold, very red feet. Her left big toe is especially swollen, with an area of blackened callus on the tip of the toe overlying a suspected ulcer. The toe is very painful. The patient recently went to her diabetic nurse who suspects that she may have osteomyelitis in the distal phalanx of her left hallux. Describe treatment process for this patient, from the history taking through to treatment, management plan and possible referral?
Be sure to include in your answer:
• What tests would be carried out, why they would be done and what the results indicate
• What the treatment options for this patient would be
• Recognition of osteomyelitis
• To whom and when they would be referred.

essays should be 500 words (not including the references at the end) with a 10% allowance over or under (no less that 450 or more than 550 words) and must be properly referenced using the Harvard style of referencing both in the essay text and in the reference section. I am using the following text books Mosby’s pocket dictionary 7th edition, Principles of Anatomy & Physiology by Tortora et al and Neale’s Disorders of the foot 8th edition by Frowen et al and can use information from the internet. Each essay must have at least different references and each 150 – 200 words must contain a reference. Essay must not have been used by anyone previously.

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