Acute endocrine presentations in general practice

Infected foot wound in a man with diabetes

Jessica Lai, Lindy Begg, Christian Girgis



A 57-year-old man presents with a diabetic foot ulcer. The causes of this condition, along with appropriate management and referral options, are reviewed.

Article Extract

James is a 57-year-old man who attends your practice. Over the past year, he has been busy with work and has attended the practice less frequently. He is a butcher who owns his own business and he reports significant stress because of financial difficulties.

He attends your clinic with a wound on his left foot. Several weeks ago, he accidentally kicked a stool with his left foot, without pain. He initially noticed an area of redness at the impact site, but the wound later grew in size, became warm and developed into a blister. He does not feel pain in his feet and often feels like he is walking on thick carpet.

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Model used for illustrative purposes only