Cellulitis
40 year old male, no h/o comorbidities, presented with pain and swelling of the right foot. No h/o trauma, fall. On examination has local rise of temperature, pitting pedal oedema and tenderness. Ankle joint movements are normal. Dx and Rx please.
D/D 1.Infective - cellulitis 2.Acute Gouty arthritis 3.Insect bite followed by secondary infection 4.DVT 5.lymohangitis - bacterial or filarial 6.Bone involvement - osteomyelitis Start treatment on the lines of infective cellulitis and get S.uric acid , colour doppler study of lower limb vessels and an X - ray foot to look for any osteomyelitis . Treatment- Tab Linezolid 600 mg B.D for 10 days Tab Aceclofenac + serratiopeptidase B.D for 10 days Elevation of limb Remaining treatment depends upon the investigations reports
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Rule out gout madam
I agree with Dr S Agrawal, add to levocetirizin 5mg od, Deithylcarbamazin 150 bd 10 day
DVT ???? Cellulitis FBC RFT BS antibiotics Chymoral forte Liofen PCM The leg should be supported on a pillows or on footstool
Could be veous obstruction thrombophlebiis.Feel the pulse s.Arterial occlusion can also produce edema.Lymph edema to be considered next.
CELLULITIS/Lymphangitis ask for colour doppler to ruled out DVT
I agree with Dr Raju N.
Consider Cellulitis DVT Filarial lymphangitis Usg evaluation will help CBC esr Lower limb elevation Active movements If investigations are in conclusive, empirical iv antibiotics
Cellulitis lower leg Swelling is diffuse over dorsum foot Icepacks Broadspectrum antibiotics like amoxyclav625mg 1bd Antiinflamatory If not improved adv Incision and drainage
Prolonged time standing on foot Cardiac dis? Fluid retention Stress/strain Rule out cause..first
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