patient admitted with wound to toes on right foot. Redness, | Figure 1

avenable

•Follow

Licensed Vocational Nurse

patient admitted with wound to toes on right foot. Redness, greenish drainage, black dry necrotic tissue to 4th digit. What is going on with the patient? What is the cause of the way the 4th digit and foot looks? Should this result in #Amputation or is there a way to save the toes?

Similar cases

38 year old male presenting with finger and toe #nail involvement, 20year duration. Both #hallux nails are not present. Left foot 4th digit nail not present. Both hands all finger nails involvement. Left hand 2nd digit #Koilonychia appearance. I don't suspect fungal involvement. Patient reports finger prints are not present on all fingers. Does not do 'heavy labour' or use chemicals daily.

A neuropathic diabetic accidentally cooked his 4th and 5th digits on a space heater.

3rd and 4th toe amputation of left foot.

Uncontrolled diabetic patient with 4th digit gangrene. Toe amputated and wound debrided. Now diabetes control and daily dressings.

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?