It is a case of diabetic foot in a young diabetic patient. This condition can be considered to be mismanaged based on the information provided by medical history. From the outlined history, the clinical manifestation points out to a form of moderate painful leg with round yellow open wound which is close to the medial malleolus. There is also chilling, fever and hypertrophy of the calf left calf muscles. The skin of the affected leg appears to be red in color. In managing this kind of pain affecting a diabetic patient's foot, the clinical signs and symptoms will have to be considered to manage the case. One of the most important recommendations to make as regards to the management is that which relates to the management of pain. Patients will need to stop the idea of applying heating pad to the leg. Instead of the use of hot water, a warm water and mild soap will have to be used so as to allow easy circulation of blood. Frequent checking of the foot and toes is very important for this patient in order to prevent any form of recurrent ulceration. This patient will also be given medications such as ibuprofen which is an anti-inflammatory medication that helps in reducing any form of inflammation related to the ulceration.
Those muscles that are likely to be affected are the flexor retinaculum, inferior extensor retinaculum and tibialis posterior. Those data are very important simply because of the values which help the managing physician to identify the likely type of infection, or infectious agents involved. It also allows the managing physician to educate the patient on some of the available management protocols and how to prevent similar cases in the nearest future since the major underlying condition is a chronic case. The main factor that could delay wound healing is the infection and underlying diabetic condition. The prevention can be achieved by ensuring that the DM is controlled and blood sugar is lowered while infection is also managed properly with the medications. This will help in preventing the delay of wound healing.
Carine et al., (2004). Relationship to neuropathy and foot ulceration in Caucasian diabetic men. Muscle Weakness and Foot Deformities in Diabetes. Diabetes Care.
Recieved from http://care.diabetesjournals.org/content/27/7/1668.long
Recieved from http://diabetes.niddk.nih.gov/dm/pubs/neuropathies/