PATIENT: SHEPARD, CHARLES ACCOUNT/EHR #: SHEPCH001 S: Pt is a

PATIENT: SHEPARD, CHARLES ACCOUNT/EHR #: SHEPCH001 S: Pt is a 31-year-old male complaining of an unhealed sore on his left foot. He states the sore is of 3 weeks duration with no evidence of healing despite multiple home remedies and over-the-counter treatments. Pt has had type 2 diabetes for 6 years. O: Weight 195, Height 5 feet 7 inches, T 99F, BP 150/90; HEENT: unremarkable. Left extremity shows a diabetes-related ulcer directly above the third phalange. The ulcer, 15 sq cm, is debrided (skin and subcutaneous fat), ointment applied, and a bandage placed. Patient is given wound care instructions. A: Type 2 diabetes; ulcer of midfoot P: Pt to return in 2 weeks for follow-up

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