A 58-year-old male was admitted from a nursing home (NH) with a chief complaint (CC) of being lethargic and not acting appropriately. The patient stated that his legs hurt, and they had been hurting for a long time, and he rated his pain as an 8 on a scale of 1 to 10. Past medical history (PMH) Diabetes type 2 (DM2), hypertension (HTN), venous stasis ulcers, hepatitis C, peripheral vascular disease (PVD), congestive heart failure (CHF). Past surgical history (PSH) Bilateral (B) LE stasis ulcers status post (S/P) extensive debridements of both lower extremities and multiple failed skin grafts 2 years ago, right hallux amputation. Physical examination VS 38-126-24-137/81.
Chest: CTA (B). CVS: tachycardic but regular with no murmurs. Abdomen: Soft, NT, ND, +BS. Extremities: severe venous stasis ulcers of the lower extremities (B), approximately 1/2 way down and almost…
