March 3

I'm Muskan BDS 3rd year student.
March 3

This is an E-log to discuss case scenario of a patient with their guardian's help.
I have been given this case to solve in an attempt to understand topic of patient, clinical data analysis to develop my competency in reading and comprehending clinical data including history, clinical findings i,nvestigation and come up with diagnosis and treatment plan .



A 51 year old male resident of Nalgonda came to OPD on 27 February.
CHEIF COMPLIANT:
Diabetic foot and pain in his left leg since 20 days because of which he developed gangrene .
Fever since 5 days.
Throat pain since 2 days
 HISTORY OF PRESENT ILLNESS:
 Patient was apparently asymptomatic 7 years ago then he developed symptoms of high fever and fatigue for which he had visited local clinic where he was diagnosed with type 2 diabetic milletus .
Then 5 years ago he was having fever so he went to regular checkup where he was diagnosed with hypertension. 
20 days ago patient had a trauma to his left foot while riding bike and injury to 2 toe of left foot which was not healings since then .
Throat pain since today's .
Duration of pain : sudden onset
Type of pain : acute pain 
Radiation: non radiating type
Location of pain : throat
History of past illness: 
Hypertension: significant
Diabetis: seen 
Asthma: not significant
PERSONAL DIET: 
Diet : mixed
Appetite : normal 
Bowel and bladder: irregular
Sleep : inadequate
Addiction: alcoholic since 30 years 
Family history: His father was having type 2 diabetic milletus 
GENERAL EXAMINATION: 
Patient is conscious ,coherent ,cooperative , well oriented to time and place and person.
Pallor: not seen
Edema: seen
Clubbing: not seen.

Question: 
What is the reason for is throat pain ?
Is it anyway related to diabetis?

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