A 42-year-old male with poorly controlled DM type 2 (HbA1c 13%) and hypertension was presented with a one-month history of progressively worsening pain in his left thigh and calf associated with a secondary inability to walk at the hospital. The patient had no history of trauma or intramuscular injections. Physical examination revealed Afebrile No evidence of arthritis or effusion Swelling and tenderness in the left distal quadriceps area and calf with a limited range of motion of the knee Peripheral pulses and sensation were normal Medications Insulin 70/30 bid, lisinopril 20 mg daily, Aspirin SA 81 mg daily and simvastatin 40 mg daily.

What can be the possible diagnosis for this patient? What laboratory tests should be ordered further? * This case is from Docplexus Editorial Team for educative purpose only.