Concluded Case

27 years male has this wound x 15 days hit by foreign body advice

27 years male has this wound x 15 days hit by foreign body advice management

45 Likes

LikeAnswersShare
Concluded answer

Non healing ulcer with cellulitis of the surrounding skin, daily ulcer cleaning with betadine and hydrogen peroxide for slough removal, oral antibiotics like augmentin after sending swab from ulcer bed for culture and sensitivity, tablet chymoral forte tid, limb elevation, no need for crepe bandage, can apply debridase ointment since there appears to be slough present in the ulcer floor, get xray foot also for any retained pieces of foreign body or underlying bony injuries , tablet vitamin c BD, send his CBP, tablet Zerodol-sp BD, tablet pantop 40mg once daily empty stomach, multi vitamin tablets as well

All Answers

There is infected ulcer just above medial malleolus With surrounding redness and oedema He must have been through Antibiotics by now Please send wound swab for culture Linezolide 600 mg twice a day for 7 days (it has only Gram positive spectrum and highly effective) Limb elevation (very important) Crepe bandage Check for diabetes, immunocompromised status

May I know why to apply crepe bandage sir?
4

View 13 other replies

Non healing ulcer with cellulitis of the surrounding skin, daily ulcer cleaning with betadine and hydrogen peroxide for slough removal, oral antibiotics like augmentin after sending swab from ulcer bed for culture and sensitivity, tablet chymoral forte tid, limb elevation, no need for crepe bandage, can apply debridase ointment since there appears to be slough present in the ulcer floor, get xray foot also for any retained pieces of foreign body or underlying bony injuries , tablet vitamin c BD, send his CBP, tablet Zerodol-sp BD, tablet pantop 40mg once daily empty stomach, multi vitamin tablets as well

Agree
1

View 1 other reply

History..investigations esp X ray for any remaining foreign body..antibiotcs..analgesics. antibiotic dressing..Tab Folic acid 5 mg helps heal fast..pt may need split thickness skin grafting.

Chitomesh SFcream b.d application
0

First thing to do is send for cultre sensitivity. 2)hydrogen peroxide daily dressing.of possible vacuume dressing. 3)daily dressing shuld be done 4)get usg scan lower limb veins 5)rule out HIV status or immunocompromised status. 6)linazolid 600mg tab bd 7)inj metrogyl 200ml 1--1--1.

what is the role of usg scan in this case
0

View 2 other replies

Even if he is nondiabetic it needs daily clean n hygienic dressing with broad spectrum antibiotic .remove all debris n dead skin. Wash with vitamin c injection as my teacher use to do. It take minimum one month deep care. Give some vitamin supplements depending on pts condition

Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!

Rule out DM. Restrict movements .
1

Rest to the part, elevation, daily dressing,u avoid wetting and antibiotics, anti-inflammatory drugs. If not healing do venous doppler and bl sugar.

Infected ulcer Cleaning with H2O2. Dressing with bitadin lotion Inj.cefoperazon+sulbactum 1gm bd for 5days Tab . levocetragin Tab.Azithromycin500

Vitamin c 500mg bid may speedup recovery according to my experience of 47 tears of practice.
0

Non healing ulcer Clean wound with hydrogen peroxide Antiseptic dressing daily with betadine Give broad spectrum antibiotics Is he diabetic???

No comorbidity
1

View 1 other reply

Infected ulcer. Cleaning with betadin solution Dressing with mupirocin Inj -Ceftriaxone 1 GM bd x 5 days. followed by oral antibiotic

Thanks Dr. Abdul Majeed Sir
0
Load more answers