Chief complaint: “ My right great toe has been hurting for about 2 months and now it’s itchy, swollen and yellow.
I can’t wear closed shoes and I was fine until I started going to the gym”.
HPI: E.D a 38 -year-old Caucasian female presents to the clinic with complaint of pain, itching, inflammation,
and “yellow” right great toe. She noticed that the toe was moderately itching after she took a shower at the
gym. She did not pay much attention. About two weeks after the itching became intense and she applied
Benadryl cream with only some relief. She continued going to the gym and noticed that the itching got worse
and her toe nail started to change color. She also indicated that the toe got swollen, painful and turned
completely yellow 2 weeks ago. She applied lotrimin AF cream and it did not help relief her symptoms. She has
not tried other remedies. Denies associated symptoms of fever and chills.
PMH:
Diabetes Mellitus, type 2.
Surgeries: None
Allergies: Augmentin
Medication: Metformin 500mg PO BID.
Vaccination History: Immunization is up to date and she received her flu shot this year.
Social history:
College graduate married and no children. She drinks 1 glass of red wine every night with dinner. She is a
former smoker and quit 6 years ago.