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OK. So a few weeks back I posted on here and my patient who I treat for other reasons came into his appointment complaining of a sore leg. He showed me it was red and swollen. I advised him to go to his G. P. He was very reluctant to go but his wife managed to persuade him. He ended up over the hospital and was told he had cellulitis and an ulcer forming. He was put on I. V antibiotics but unfortunately discharged himself the next morning (patient is alcohol dependent). On coming back to see me today, I asked about his leg and he showed me this. I have urged him to go over to the hospital but he just won't. Please excuse my ignorance as my expertise is mental health. My question to you is what will happen to my patient if he does not go to the hospital for treatment.

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hello, I’m intern ...the old man comes to hospital ....his complaint was severe itching on his back, and I inspected him and I gave him antifungal treatment, after 3 days when he came back it becomes more worsened.

I walked into my treatment room today to find that my patient had his leg dangling over the edge of the chair. His toes had a deep red discoloration. He mentioned that the small wound on his foot has become very painful and that, when in bed, he needs to hang his leg over the bed to sleep. As I elevated his foot onto the treatment chair, his foot turned white. The wound became too painful to touch.

I saw this patient several months before these labs were obtained, and commented on his pallor then. He is in his 40s, but due to costs he put off following through on my ordered labs until recently. When I saw these, I called him and he was shocked at my idea of going to the ER.

\n\nI do not have any pictures of a case, but I promise it is interesting. It was summer. I was on a mission with army on a mountain. We were accommodated in tents and sleeping in bags. Early in the morning, one of the members of unit came to my ambulance. He was complaining about problem with his genital. He said it was red and itching. He was being shy and did not want to show me what it looked like. I thought the reason of the problem was probably poor hygiene because of the bad terms on the field, all together with constant sweating on those high temperatures. I gave him Canesten cream, instructions for reaching higher level of hygiene and told him to come back in the evening. Two hours later, the patient came again. This time he looked more worried. He told me it wasn't itchy anymore, it was painful now. He again did not want to let me look at his genital until I demanded to take off his clothes. What I saw made me terrified, really. His genital was all pale and swollen. I saw two little dots on top of a glance of the penis. There was no blood around the dots and no swelling. I asked if the patient had any birthmark on that area and he denied. Patient denied seeing those dots before and did not want to say if he knew the reason of the problem. He just said that he has woken up with the swelling. The dots looked to me as a bite. Since we were in nature, I thought it could be a snake bite. I sent him to hospital for antibiotics, tetanus and serum. The patient stayed at hospital for a day. Laboratory findings show no signs of snake venom. After getting out of the hospital, the patient came back to me for control examination. The swelling was smaller, but I saw on a medial of his legs changes that looked like capillary bleedings. Those changes were getting smaller and brighter as they were getting from genital area closer to the feet. What do you think about diagnosis?