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Last additions - Severe Diabetic Macular Edema and Siegrist Streaks 56 year old female. seen in 5/2023 - She injured her right foot with a roofing nail and got necrotizing fasciitis (4/2020). With the necrotizing fasciitis, she entered multiple organ failure but recovered. She does not know if she had high blood pressure or DIC. Before that she could see well except that she needed reading glasses. She was then put into hyperbaric and got a myopic shift. She was also diagnosed with diabetes. Her A1C now is very good. At the time of her infection her A1C was very high for less than a few months. She noticed a shadow that comes and goes within the last 6 months in just the left eye. The right eye does not see well, everything is not crisp. She just ordered new glasses and does not know what her vision would be. She has not had an eye examination in a few years. She was concerned about the shift and needing to update her glasses. Medical Hx: Diabetes Type II with Ocular Complications. Thyroid Disease. Influenza Immunization Not Received. Pneumococcal Vaccine Not Received. Surgical Hx: foot surgery. Systemic Meds: MOUNJARO- tirzepatide injection, solution. VA OD: sc20/80+1 PHNI NscJ16 VA OS: sc20/100 PHNI NscJ16 IOP: TP: OD:10 OS:11
Siegrist Streaks and severe diabetic macular edema210 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema248 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema190 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema192 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
Siegrist Streaks and severe diabetic macular edema219 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema218 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema202 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema207 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
Siegrist Streaks and severe diabetic macular edema258 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema185 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema216 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema244 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
Siegrist Streaks and severe diabetic macular edema211 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema201 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema186 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema188 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
Siegrist Streaks and severe diabetic macular edema187 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema191 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema232 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema215 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
Siegrist Streaks and severe diabetic macular edema205 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema232 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema175 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema177 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
Siegrist Streaks and severe diabetic macular edema176 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema218 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema186 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema226 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
Siegrist Streaks and severe diabetic macular edema189 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema201 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema222 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema239 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
Siegrist Streaks and severe diabetic macular edema226 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023	Siegrist Streaks and severe diabetic macular edema209 views56 year old female who presents four years after developing necrotizing fascitis and multiple organ failure from an infected foot from a roofing nail. Her vision was 20/100 OU. She has multiple peripheral pigment spots consistent with Siegrist streaks.Sep 19, 2023
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56 year old female. seen in 5/2023 - She injured her right foot with a roofing nail and got necrotizing fasciitis (4/2020). With the necrotizing fasciitis, she entered multiple organ failure but recovered. She does not know if she had high blood pressure or DIC. Before that she could see well except that she needed reading glasses. She was then put into hyperbaric and got a myopic shift. She was also diagnosed with diabetes. Her A1C now is very good. At the time of her infection her A1C was very high for less than a few months. She noticed a shadow that comes and goes within the last 6 months in just the left eye. The right eye does not see well, everything is not crisp. She just ordered new glasses and does not know what her vision would be. She has not had an eye examination in a few years. She was concerned about the shift and needing to update her glasses. Medical Hx: Diabetes Type II with Ocular Complications. Thyroid Disease. Influenza Immunization Not Received. Pneumococcal Vaccine Not Received. Surgical Hx: foot surgery. Systemic Meds: MOUNJARO- tirzepatide injection, solution. VA OD: sc20/80+1 PHNI NscJ16 VA OS: sc20/100 PHNI NscJ16 IOP: TP: OD:10 OS:11