DISCHARGE SUMMARY
Patient Name:
Gerald Edwards
Hospital No.:
11058
Date of Admission:
07/15/2017
Date of Discharge:
07/20/2017
Consultations:
Garry Shelton, DPM
Midori Okano, MD
Procedures:
Complicated incision and drainage, right foot, on 07/17/2017.
Complications:
None.
Admitting Diagnosis:
No diabetes
mellitus. Ulceration of right foot.
HISTORY: The patient is a 53-years-old black individual, who has had diabetes for at
least six months, but thinks it has been longer than that, he has had a foot ulcer since
January. Physical exam at the time of admission is significant for his lower extremities
where he had good dorsalis and posterior tibial pulses bilaterally. His left foot had no
abrasions, lesions, sores or ulcers. His right foot shows obvious deformity from a
previous break. He has an area located between his second and third metatarsal head that
has clearly been an abscess that has broken through. He also has had a foot ulcerated area
and there is question of osteomyelitis in this area.
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