Dear Bloggers
Below is a set of radiographs of a patient who presented with increasing cough, dyspnoea and fever.
The patient had long-term untreated diabetes mellitus and there was a history of chronic, heavy smoking.
On examination, dental hygiene was poor and the physical examination of the chest revealed no abnormalities to percussion or auscaultation. Abdominal examination was normal.
The patient had an ischaemic ulcer present on the right lower later limb.
Questions:
1) What is the diagnosis from the history, physical examination and Xray findings?
2) List the likely cause(s)
3) What other tests would you do?
4) What is the current evidence based treatment of such a condition?
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