O/E: On the plantar aspect of the left foot, he has a clean. painless ulcer measuring about 1.4 cm in diameter. There was a thick callosity the ulcer's periphery. His pedal pulses are strong.
The patient had an orthopedic procedure two months ago. This was intended to redistribute some of the pressure on the ulcerated area. It was quite successful. He has some mild foot edema presently, but the ulcer has healed completely. His A1C is normalizing, too.