-walk difficulty , damage of leg

Painful swelling

-abnormal enlargement (hyperthrophy) , infection

Yellowish discharge/pus

-indicate bacteria cause wound

-Ingrowing toe nails

-Gout( multiple joint )

-Diabetes mellitus

-Cellulitis (effect deeper layer of tissue, most common in leg)

-Bunion

-Fracture of phalanx (swelling , inhibit movement )

-paronychia

-allergy

-rheumatoid arthritis

trigger 2

• infection

• diabetes mellitus

• cellulitis

• septicemia (will get if not untreated)

  
  

  
  

-risk factor certain disease

limping

-walk difficulty

Painful swelling (because of chemical)

-abnormal enlargement

Increasing in size within 3 days

-acute inflammation

Yellowish discharge( leakage by fluid, bacterial infection)

-pus

Right big toe

- high pressure

-acute/long fever , time ( morning / night )

Wearing tight shoes?

Eating seafood?(triggering gout)

Family history disease

-Tired , feeling thirsty , blurry vision , slow healing wound?

-Numbness

-Weight loss(food will not go to your cell)

-Food medication allergy ? (skin harsh)

trigger 2

-CNS culture and sensitivity - know what type of bacteria

-blood glucose test - blood count test

- xray first to detect any fracture, no need ct scan and MRI

- check his heart due to his age (ecg)

trigger 3

Painkiller - possibly cause gastrointestinal ulcer if we give more than 5 days

Antibiotics - Cloxacilin for Strepcoccus aureus

Education - very important to educate patient to take medicine accordingly

If the patient has diabetic - affect sensory neurons so the patient does not feel any pain sensation

• last more three months

tetanus

• infection caused by clostridium tetani produce toxin for muscle contraction

tetanus booster

• adult need this booster. protect from disease. incerasing immunity

diabetes mellitus

• body does not produce enough insulin , blood sugar level elevated

distal is far from body and proximal near to body

palpation - feel the body, warm or cold

tender mean pain in medical

-no history of tetanus booster dose, can get infection

continued pain, acute or chronic

-diabetes mellitus , no family history, low possibility to get

-remove the nail, no medication attention , cause inflammation, bacteria still there

-increase in temperature, fever (low grade fever)

-reddish ,brown colour

-tender, patient shout pain when do palpation

-blood pressure is borderline in this patient

below 90/60 mmHg hypotension

above 140/90 mmHg hypertension

-normal pulse rate 60 to 90 (patient have 90)

-normal respiratory rate

-bacteria involved clostridium tetani coz of nail

• A test that indirectly measures that level of certain proteins in the blood

Analgelsic administration

• Medication uses to reduce inflammation

Surgical drainage

Pus swab

• test the sensitivity of bacteria

Abscess

• collection of pus

-Ingrowing toe nails

-Gout( multiple joint )

-Diabetes mellitus

-Cellulitis (effect deeper layer of tissue, most common in leg)

-Bunion

-Fracture of phalanx (swelling , inhibit movement )

-paronychia

-allergy

-rheumatoid arthritis

trigger 2

• infection

• diabetes mellitus

• cellulitis

• septicemia (will get if not untreated)

• increase because get infection of bacteria

Neutrophil

• increase because in order to fight the infection

Total WBC count

• increase because protect our body from the infection