A 65 years old lady presented with a case of non healing ulcer over right fore foot 2nd toe plantar aspect since 2 years and left foot for foot over since 3 years associated with history of foul smelling pis discharge and cellulitis and fever since 15days for this they came. BP 160/90 Lab routine TC 16000 DC (N) 84% HB 13 gm RBS 317mg/dl ABI bilateral 0.9 TBI bilateral 0.8 Provisional diagnosis Grade2 B Neurotrophic ulcer bilateral A/ w cellulitis and osteomyelitis ? Over 2nd phalanx right foot Type 2 Diabetes MELLITUS Hypertension Diabetic peripheral Neuropathy Discussion open my dear colleagues and respected seniors

50year old Male,known case of diabetes on irregular treatment presented with pain,swelling,ulcer with discharge and discolouration of Left big toe since 2weeks... Diagnosis and management?

80 year old male with history of DM, PVD, related to non healing diabetic foot ulcer. Now has this area on top of left foot. Has had this scab since earlier this year. Has not grown in size. No odor, no drainage, no pain. Reports no fevers. Has mild neuropathy to LLE. Suggestions on any further treatment options/tests? Worried about what may be presenting underneath the scabbed area with his Hx of PVD/DM.

58 yr old pt having infected wound on right leg (index toe) .. Onset: 1 month ago K/C/O - DM BP- 130/70 mmHg. RBS- 176 mg/dL

65 yrs male known diabetic r bsl 320 No any other major illness