DX??? Rx??

45 year male pt hv h/o DM type 2 ×10 years nd hv varicose vein ×1 year . diagnosis nd treatment ?

Diabetic foot in a middle aged man with gangrene of the fore foot treated by Tarso metatarsal amputation has healed to this much in 3 months period, patient was not willing for skin grafting.

Does anyone have any suggestions for this vascular wound? We have tried Santyl, anasept gel and tender wet? The vascular doctor recommends amputation but family declines.

48 years male, Complaining numbness and coloured change in right midlle toes since one month. He is smoker and alcoholic . No history of trauma. Only given history of blisters and swelling and leads to ulceration on the base and middle toes of right leg, He is not diabetic and not hypertensive ? No history of burn and no drug intake . What is DD and right management ?

THIS IS a48 YEARS OLD FEMALE WITH A DIABETIC FOOT INFECTION THE SOURCE OF THE INFECTION WAS REMOVAL WAS 2 cm IN THE PLANTAR AREA PICTURES SHOW THE SURGERY AS WELL AS AFTER WE REMOVE THE SOURCE CAN YOU TELL AS WHAT IS THE SOURCE OF THE INFECTION .?