Concluded Case

Trophic ulcers

55 year old male came with this lesion slowly increased, till it reached this size in 2 weeks, known diabetic on medication with insulin, what can be done to this man, kindly guide me

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Concluded answer
Strict glycemic control. Broad spectrum antibiotics. And at the earliest possible thorough debridement. PreOp investigation to be done (spinal anesthesia will be required) and along with that an x-ray and color Doppler of the limb.
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Black gangrenous patch suggest diabetic foot Pt should be hospitalised Monitor and control of diabetes Continue insulin Debridement of gangrenous tissue and treat as diabetic ulcer
Thanx dr Pushkar ji Bhomia
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Diabetic foot Anesthetic foot Compromised limb vascularity . Infection Arterial colour Doppler X-ray of foot Insulin , antibiotics, debridement, dressings
Thank you, Doctor
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Rule out Peripheral arterial disease ...bsl should be maintained under good control....broad spectrum antibiotics..if there's is no PAD debridement should be done
diabetic ulcer foot stetile dressing placentrex sin graft
Diabetic foot
Diabetic gangrenous foot. Strict control of blood sugar with insulin Debridement of necrotic tissue Anti pseudomonal antibiotic eg piperacilline plus tazobactum, or iv lonezolid plus moxifloxacine. Dressing with hydroheal & metronidazole. Multivitamins, zinc, Celine, antioxidants with trypsin and chymotrypsine
Strict glycemic control. Broad spectrum antibiotics. And at the earliest possible thorough debridement. PreOp investigation to be done (spinal anesthesia will be required) and along with that an x-ray and color Doppler of the limb.