Problem:
This is a 61 y/o female who presented to the hospital last night with complaints of right toe pain. Upon admission, she has a gangrenous right great toe. The patient states that the wound has been there for approximately 7 days, though I suspect it has been longer. Denies any fevers at home. She has DMII. She was supposed to be taking medication for her diabetes including Metformin and Insulin, however, she has not taken either medication for at least a year due to an insurance issue and not being unable to pay for it. She has not seen a doctor since then. She takes no medications at home. Denies any recent fevers or chills. Denies any drainage from the foot. Does not remember how she obtained a wound on her foot to start with.