I bumped my foot…oops!!

62 yrs male, Poorly controlled diabetes with peripheral vascular disease. Hx of trivial injury to R foot 3 days prior to presentation. In ED, HR 89/mt, BP 124/76, Temp 38.7C. BSL 16.2, Ketones 2.5, WCC 24.5, CPR 499, PCT 8.71. On examination of foot, swollen, blister over dorsum of foot, erythematous, tender. Xrays ordered to look for osteomyelitis; comment on the lateral foot xray.

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