diabetic foot infection with amputated big toe and 1st metat | Figure 1

radioactive9

Radiology

diabetic foot infection with amputated big toe and 1st metatarsal bone due to #Osteomyelitis

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A 77-year-old male patient with type 1 diabetes. Suture removal was not followed up due to family neglect. The patient presented with wound necrosis of 45 days' duration. Devitalized tissue was removed, however, the metacarpal epiphysis was compromised, which was not visible on X-ray. Any ideas or suggestions as to what the arrows are pointing to could be?

48 YOM with PMH of DM, HTN presents for diabetes management and happens to mention a hard nodule present on finger that had been present for quite some time. No pain, no overlying ski changes, no real complaints regarding the finger except that it was there. Got XR and got this image. Few extra labs for further eval- LDH, alk phos, calcium all normal... what could look like this??

Typical diabetic foot ulcer caused by high plantar pressures at the second metatarsal head.

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