49M ULCER SINCE 1YR, SWELLING OF LEFT LEG

 27/10/2026

THIS IS THE CASE OF 49M, WELDING WORKER BY PROFESSION WITH COMPLAINTS OF SWELLING OF LEG SINCE 20DAYS, ULCER SINCE 1 YEAR, INCREASING SINCE 3 MONTHS.

49 years/ male/ Welding work
C/O: Patient came with complaints of:

- Swelling of leg (left) - 20 days

- Ulcer since 1 year, ulcer increasing since 3 months

HOPI:

Patient was asymptomatic 3 months ago, now came with onset 3 months (gradually increasing), duration 3 months, site - left leg. Mode of onset - Due to post operative trauma, patient met with accident 5 years ago. After removal of rod from the fracture after healing. Due to some wound over the stitches, patient developed infection 1 year ago and it is gradually increasing since 3 months.

Pain - Painful, Bleeding - No, Surrounding - Marginated wound & well defined, edema is present, Healing - healing over dressing.

Past History:

N/K/C/O - Diabetes, Hypertension, TB

No similar traumatic wounds

Patient had met with accident 5 years ago. No other surgeries were done. Patient had fracture.

Personal History:

Diet - Mixed, Sleep - Adequate, B&B - Normal, Addictions - Alcohol present, Smoking - Absent

Family History: No family history

General Examination:

Temp - 98.7 F, Pulse - 80 bpm, B.P - 120/80 mmHg, PICCLE - All absent

Local Examination:

Examination of affected limb (left leg)

Edema - Present, Varicose veins - Absent, Sensory/Motor function - Present, Pain - Present, Temp - Normal

Provisional Diagnosis: Post traumatic ulcer - left leg