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chronic complication of diabetes mellitus? Clinical Course The patient was hospitalized and both wound and blood cultures were started. Mrs. B. was treated with broad-spectrum antibiotics while waiting for culture reports. The wound was packed with saline-soaked Kerlix gauze to facilitate debridement of necrotic tissue. The patient was provided continuous insulin by IV with frequent monitoring of blood glucose concentrations. Serum glucose levels were maintained at 80-100 mg/dL. An electrocardio- gram was normal. Wound and blood culture reports were eventually completed. The wound was contaminated with gram-positive bacteria, but the blood culture was negative. Magnetic resonance angiography of the right lower extremity was subsequently per- formed and a right tibial artery obstruction was identified. The section of diseased vessel was short (3.0 cm), but there was 70% narrowing of the artery. The angiogram also showed some degree of collateral circulation around the obstructing lesion. The patient underwent suc- cessful percutaneous angioplasty of the diseased vessel and placement of a stent to restore blood flow. The foot wound showed significant signs of healing after several days of bedrest and continued antibiotic therapy. A decision to perform an amputation of the right foot was averted. Patient Case Question 8. Based on the information provided in the patient's clinical workup, what type of medication is ultimately necessary? Patient Case Question 9. Why is it unlikely that a thrombus or embolus contributed to arterial obstruction in this case? Patient Case Question 10. What is "Legs for Life"?

chronic complication of diabetes mellitus? Clinical Course The patient was hospitalized and both wound and blood cultures were started. Mrs. B. was treated with broad-spectrum antibiotics while waiting for culture reports. The wound was packed with saline-soaked Kerlix gauze to facilitate debridement of necrotic tissue. The patient was provided continuous insulin by IV with frequent monitoring of blood glucose concentrations. Serum glucose levels were maintained at 80-100 mg/dL. An electrocardio- gram was normal. Wound and blood culture reports were eventually completed. The wound was contaminated with gram-positive bacteria, but the blood culture was negative. Magnetic resonance angiography of the right lower extremity was subsequently per- formed and a right tibial artery obstruction was identified. The section of diseased vessel was short (3.0 cm), but there was 70% narrowing of the artery. The angiogram also showed some degree of collateral circulation around the obstructing lesion. The patient underwent suc- cessful percutaneous angioplasty of the diseased vessel and placement of a stent to restore blood flow. The foot wound showed significant signs of healing after several days of bedrest and continued antibiotic therapy. A decision to perform an amputation of the right foot was averted. Patient Case Question 8. Based on the information provided in the patient's clinical workup, what type of medication is ultimately necessary? Patient Case Question 9. Why is it unlikely that a thrombus or embolus contributed to arterial obstruction in this case? Patient Case Question 10. What is "Legs for Life"?

Human Anatomy & Physiology (11th Edition)
Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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Why is it unlikely that a thrombus or embolus contributed to arterial obstruction in this case?

chronic complication of diabetes mellitus? Clinical Course The patient was hospitalized and both wound and blood cultures were started. Mrs. B. was treated with broad-spectrum antibiotics while waiting for culture reports. The wound was packed with saline-soaked Kerlix gauze to facilitate debridement of necrotic tissue. The patient was provided continuous insulin by IV with frequent monitoring of blood glucose concentrations. Serum glucose levels were maintained at 80-100 mg/dL. An electrocardio- gram was normal. Wound and blood culture reports were eventually completed. The wound was contaminated with gram-positive bacteria, but the blood culture was negative. Magnetic resonance angiography of the right lower extremity was subsequently per- formed and a right tibial artery obstruction was identified. The section of diseased vessel was short (3.0 cm), but there was 70% narrowing of the artery. The angiogram also showed some degree of collateral circulation around the obstructing lesion. The patient underwent suc- cessful percutaneous angioplasty of the diseased vessel and placement of a stent to restore blood flow. The foot wound showed significant signs of healing after several days of bedrest and continued antibiotic therapy. A decision to perform an amputation of the right foot was averted. Patient Case Question 8. Based on the information provided in the patient's clinical workup, what type of medication is ultimately necessary? Patient Case Question 9. Why is it unlikely that a thrombus or embolus contributed to arterial obstruction in this case? Patient Case Question 10. What is "Legs for Life"?
Transcribed Image Text:chronic complication of diabetes mellitus? Clinical Course The patient was hospitalized and both wound and blood cultures were started. Mrs. B. was treated with broad-spectrum antibiotics while waiting for culture reports. The wound was packed with saline-soaked Kerlix gauze to facilitate debridement of necrotic tissue. The patient was provided continuous insulin by IV with frequent monitoring of blood glucose concentrations. Serum glucose levels were maintained at 80-100 mg/dL. An electrocardio- gram was normal. Wound and blood culture reports were eventually completed. The wound was contaminated with gram-positive bacteria, but the blood culture was negative. Magnetic resonance angiography of the right lower extremity was subsequently per- formed and a right tibial artery obstruction was identified. The section of diseased vessel was short (3.0 cm), but there was 70% narrowing of the artery. The angiogram also showed some degree of collateral circulation around the obstructing lesion. The patient underwent suc- cessful percutaneous angioplasty of the diseased vessel and placement of a stent to restore blood flow. The foot wound showed significant signs of healing after several days of bedrest and continued antibiotic therapy. A decision to perform an amputation of the right foot was averted. Patient Case Question 8. Based on the information provided in the patient's clinical workup, what type of medication is ultimately necessary? Patient Case Question 9. Why is it unlikely that a thrombus or embolus contributed to arterial obstruction in this case? Patient Case Question 10. What is "Legs for Life"?
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