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A 45Years old male patient with Decreased sensation of Right foot.

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THIS IS AN ONLINE E LOGBOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HIS / HER /GUARDIAN'S SIGNED INFORMED CONSENT. HERE WE DISCUSS OUR INDIVIDUAL PATIENT'S PROBLEMS THROUGH A SERIES OF INPUTS FROM THE AVAILABLE GLOBAL ONLINE COMMUNITY OF EXPERTS WITH AN AIM TO SOLVE THOSE CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE-BASED INPUT  CHEIF COMPLAINTS:- Patient complaint of decreased sensation of Right foot. Blackish discolouration of right toe since 2 weeks Bedsore on the back since 1month. H/O previous amputation of left leg above knee . HISTORY OF PRESENT ILLNESS :- Patient was apparently asymptomatic 1month back,then he developed Ulcer over the lower back of body  which is the dependent portion while he was lying in supine position . It is gradual in onset and progressive in nature. No H/O of discharge.  No  H/O of fever.  L/E of ulcer A 4×3cm ulcer was present over the coccygeal region.  Margins are inflamed. Edges are slopy Floor is