A 48 YR OLD FEMALE FARMER BY OCCUPATION RESIDENT OF VELLEMLA CAME WITH CHIEF COMPLAINTS: WOUND OVER THE LEFT FOOT SINCE 4 MONTHS HISTORY OF PRESENT ILLNESS: PATIENT WAS APPARENTLY ASYMPTOMATIC 4 MONTHS BACK, AFTER WHICH SHE DEVELOPED BLACKISH DISCOLORATION OF LEFT GREAT TOE WHICH WAS INSIDIOUS IN ONSET GRADUALLY PROGRESSIVE, ASSOCIATED WITH SWELLING OF THE LEFT LIMB TILL MID FOOT FOR WHICH SHE WENT TO A LOCAL PRACTITIONER AND WAS TREATED WITH DRESSING THERE WAS NO IMPROVEMENT, WITH PROGRESSION OF WOUND, ASSOCIATED WITH FOUL SMELLING DISCHARGE FOR WHICH SHE WAS TAKEN TO AN OUTSIDE HOSPITAL WHERE DIS ARTICULATON OF LEFT GREAT TOE WAS DONE ON 13/04/24 CAME ON LAMA TO OUR HOSPITAL FOR FURTHER MANAGEMENT NO H/O FEVER,COUGH,COLD. NO H/O CHEST PAIN, PALPITATIONS, BREATHLESSNESS, ORTHOPNEA, PND. NO H/O ABDOMINAL PAIN, BURNING MICTURITION, NAUSEA, VOMITING. DALIY ROUTINE : WAKES UP AT 6 AM IN THE MORNING DRINKS TEA AND DOES HOUSEHOLD WORK HAVE BREAKFAST FAST AT 9 AM GOES TO THE FIELDS EATS
