1
{"ops":[{"insert":"Mrs. Patel complains of pain and swelling of her left leg since last night. She has also felt feverish since waking up in the morning. No other symptoms are present.\n\nMrs. Patel was diagnosed with type 2 diabetes mellitus six years ago. She has not been followed up regularly; and she has been poorly compliant with both drug therapy and lifestyle changes. Her most recent follow-up was 12 months ago. At that visit, her HbA1C was 8.8%. She was also found to have grade 2 diabetic retinopathy, while her urine albumin:creatinine ratio was 12 mg\/mmol (i.e., microalbuminuria). However, her eGFR was 92 ml\/min\/1.73m2 (normal: 90-120). She is currently on oral metformin 850 mg bd and oral gliclazide 80 mg od.\n\nMrs. Patel\u0027s surgical history is only significant for a lower segment Caesarean section at 40 years of age, without complications. Her family history is unremarkable. Mrs. Patel lives with Rahul, who is a manager at a nearby department store. She has no other children. Her husband died of a \u201cheart attack\u201d just over a decade ago.\n"}]}