Concluded Case

30 years old male non diabetic male left foot ulcerative lesions

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Concluded answer

IT'S A CASE OF.. ? PYODERMA GANGRENOSM.. ? ECTHYMA GANGRENOSM.. NEED'S CLINICOPATHOLOGICALLY EVALUATION WITH.. HEMOGRAM.. URINE ROUTINE.. BSR HBA1C.. SWAB C AND S EXAM.. TRIDOT.. MEANWHILE TREAT WITH.. CLEANINGS AND DRESSING WITH ANTISEPTIC ANTIBIOTICS OINTMENT MUPIROCIN.. BROAD SPECTRUM ANTIBIOTICS WITH NSAID.. MULTIVITAMINS ANTIOXIDANTS . VIT C

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Pyoderma gangrenosum

Pyoderma gangrenosum?

Pyoderma gangrenosum Immune mediated Associated with Inflammatory bowel disease, RA, hematogenous malignancies Pathergy is seen( ulcers coming up at injury sites)

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1

Necrotising non healing ulcer Since pt is nondiabetic go for debridement and bactigrass dressings Coverage of broadspectrum antibiotics and antiinflamatory and antioxidant Pt should be advised full bed rest till granulation take place

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Debriment of wound xray arteiogram non healing ulcer with necrosis amikacin Aug 625 mg TDs daily dressing with megaheal raynods disease

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IT'S A CASE OF.. ? PYODERMA GANGRENOSM.. ? ECTHYMA GANGRENOSM.. NEED'S CLINICOPATHOLOGICALLY EVALUATION WITH.. HEMOGRAM.. URINE ROUTINE.. BSR HBA1C.. SWAB C AND S EXAM.. TRIDOT.. MEANWHILE TREAT WITH.. CLEANINGS AND DRESSING WITH ANTISEPTIC ANTIBIOTICS OINTMENT MUPIROCIN.. BROAD SPECTRUM ANTIBIOTICS WITH NSAID.. MULTIVITAMINS ANTIOXIDANTS . VIT C

Tnx a lot Dr Shilpa Patil
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It is in gangrenous stage though he isnot diabetic if there is no improvement then amputation is the solution @ @Dr. Pritesh Singh

Pyoderma gangrenosum Wash with NS Betadine & H2O2 BS antibiotics Antibiotics ointment for LA Antioxidant Systemic steroids BSL, HIV

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By seeing the condition it looks like gangraneous so Pls investigation and foot care is must with medication

WATS. Probalm sir

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