This case involves a female patient with a history of diabetes who sustained a bruising injury to her right hand. Despite her injury, the patient continued to work regularly in her position at a grocery store; however, after several days had passed she was taken by EHS to the emergency room (ER), where she was seen and treated. She was given a splint and referred to orthopedic surgeon whom she saw the following day. The orthopedic surgeon applied a cast to the patient’s hand, and scheduled a follow up visit in 2 weeks. The following day, the patient returned to hospital complaining of pain in her hand. The patient’s cast was removed in the emergency department, however the orthopedic surgeon was not informed of this. No additional testing was performed during the visit. Several days later the patient presented to the orthopedic surgeon’s office, and based on clinical signs of infection he immediately sent the patient to hospital for admission for surgery. The patient was found to have a significant infection, and required surgical debridement which led to numerous complications. It is alleged that the infection should have been diagnosed sooner.