2.  Personal data:-
 Name: ‫طلحه‬ ‫الصديق‬ ‫الطيب‬ .
 Age: 45 .
 Gender: male .
 Housing: ‫الدويم‬ .
 Work: Driver .
 Marital Status: single .
 Date of admition: 2 months ago .
 Date of presentation : 2-7-2014 .

3. c/o:-
Right foot wound / 8 days.

4. H.P.I
 The patient is known diabetic for 15 years, he is on oral hypoglycemic agents, his diabetes
is poorly controlled.
 The condition started 8 days PTA when a pin stabbed into his right sole and caused him a
local pain at the sight of wound; he removed it as soon as he could. Few days later the
wound started to increase in size and produced foul yellowish discharge. The right foot
became swollen and the pain became more sever, constant not sifted or radiated relived by
medication (panadol) and there are no aggravating factors.
 This pain was associated with high grade remittent fever associated with sweating and
shills.
 During the course of his illness he sought medical advice at the nearest health center where
he got his wound washed several times.

5. Systemic review
 CNS: there is numbness at his extremities; there are no convulsions, weakness,
headache, visual disturbance.
 Cardiopulmonary: NAD
 GIT: loss of appetite, Loss of weight. No abdominal pain, vomiting, change in bowl
habits, jaundice.
 Urogenital: there is polyuria.
 Musckleskleteal: NAD.

6.  PMH:-
Hospitalization 15 years ago by dysentery. No surgery no blood transfusion to asthma
or hypertension
 FH:- NAD
 Social history:
Own house , made of green pricks, good water and electrical supply no health
insurance, animals, bad habits.
 Drug history:-
On oral hypoglycemic drugs
Not known to be allergic to any drug
Now he is on antibiotics