Rheumatology Quiz (Eng)
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บทคัดย่อ
A 65-year-old female with a medical history poorly controlled Type 2 diabetes mellitus with diabetic retinopathy and hypertension for the past 8 years presented with a two-day history of right foot edema, which developed subsequent to long-distance walking. She is currently taking metformin, glipizide, and pioglitazone. Her most recent hemoglobin A1C was 10.6%. She has no prior history of arthritis. Examination revealed a body temperature of 37.0 C, erythema, edema, and warmth of the right ankle without tenderness. A diabetic ulcer was present on the plantar surface of the foot. She also had symmetrically decreased pinprick sensation and a negative response on the monofilament test.
The X-ray findings are shown in Figures 1. and 2.
Questions:
1. What are the X-ray findings?
2. What is the diagnosis?
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