Mrs. Johnson is an underweight, frail, 75-year-old female. S…
Mrs. Johnson is an underweight, frail, 75-year-old female. She is a 1-pack/day smoker with a history of COPD. She is on numerous medications including steroids and BP meds. She comes to your outpatient wound care clinic after self-treating a wound on the tip of the left great toe. She reports significant pain, especially at night. Your evaluation reveals that the skin is shiny with minimal to no drainage present. The wound is approximately 1cm x 1cm. The wound is pale with eschar in the periphery of the wound bed. Her venous filling time is 25 sec and her dorsalis pedis and posterior tibial pulses are present but weak. Her upper extremity BP is 125/80. The left dorsalis pedis systolic pressure is 100. The ankle brachial index (ABI) for this patient is (calculate without the use of a calculator):
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