Question: Case 3 A 55-year-old Male Patient Is Urgently Referred To The Vascular Surgery Outpatient Clinic Due To The Development Of An Ulcer On The Dorsum Of His Right Foot. He Is An Active Smoker With A 60-pack-year Smoking History. He Was Diagnosed With Type II Diabetes Mellitus Last Year, And He Takes Metformin 500mg BD. He Cannot Remember When He Last Checked …

Question: Case 3 A 55-year-old Male Patient Is Urgently Referred To The Vascular Surgery Outpatient Clinic Due To The Development Of An Ulcer On The Dorsum Of His Right Foot. He Is An Active Smoker With A 60-pack-year Smoking History. He Was Diagnosed With Type II Diabetes Mellitus Last Year, And He Takes Metformin 500mg BD. He Cannot Remember When He Last Checked …

Case 3 A 55-year-old male patient is urgently referred to the Vascular Surgery Outpatient Clinic due to the development of an

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Case 3 A 55-year-old male patient is urgently referred to the Vascular Surgery Outpatient Clinic due to the development of an ulcer on the dorsum of his right foot. He is an active smoker with a 60-pack-year smoking history. He was diagnosed with type II diabetes mellitus last year, and he takes metformin 500mg BD. He cannot remember when he last checked his blood sugar levels. Over the last number of months, the distance he can walk has gradually reduced due to leg pain. Currently, he has pain at rest at the ulcer site. Examination reveals the following: Femoral pulse: Present. Popliteal pulse: Present. Posterior tibial pulse: Present. Dorsalis pedis pulse: Absent. What is the likely cause of these symptoms? Describe the therapeutic and non-therapeutic aspects of your management Describe the follow up care plan.