Patient is 42 year old male. Seen in clinic last Monday for | Figure 1

Patient is 42 year old male. Seen in clinic last Monday for wound on right lateral ankle, desquamation of foot. Labs: #WBCs 14.5, SED rate 140, Glucose 325 HgA1c 9.7. New dx DM. He works as a landscaper. Uninsured. Rocephin 1 G IM and a 7 day course of Keflex. Follow up last Wed and Friday with steady wound improvement. Started Metformin, NPH insulin. Patient called clinic yesterday late afternoon for refill of Keflex, reports blister on 5th toe. No previous 5th toe involvement. RTC this am. Right 5th toe black, edematous, skin splitting over entire toe, edema, pus. Sent to ER p PALS consult.

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