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IDC RECORD of MEDICAL EVALUATION, COUNSELING, CASE  Form

IDC RECORD of MEDICAL EVALUATION, COUNSELING, CASE Form

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to begin this is the first case this is a 52 year old gentleman with the poorly controlled diabetes high blood pressure and hyperlipidemia he presented to maddy's clinic with multiple foot ulcers all of most of which responded to aggressive six months of wound care and hyperbaric oxygen therapy except for the one that has been shown in the slide the non-invasive studies look at the the ABI for PT which is 1.2 and the ABI for DP is cannot be evaluated because of non compressible arteries so before we proceed with the case the first question to the audiences what is the culprit anja zone a anterior tibial be posterior tibial see peroneal d is a and C please ski in your answers okay okay great great you know I where I wanted to open into discussion you know this concept of Angela Sun comes up you know the doctor Meier mentioned earlier you know dr. Patel and the issue is that you know in this kind of patients this patient has had to also now for six months despite aggressive wound

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