Non healing ulcer

50yrs male pt having uncontrolled DM, no history of HTN, non healing ulcer since 3months once it heal and again sees on different part Habits - chewing tobacco Occupation-Chef Other complaints Sleeplessness and pain Diagnosed and RX and diet pattern

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Diabetic foot Nonhealing ulcers Swollened foot suggest cellulitis Seems to be uncontrolled bsl levels You should estimate diabetic profile and manage the same first with insulin and OHA Debridement of wound with irrigation with h2o2 and NS Dress with bactigrass Broadspectrum antibiotics like amoxyclav625mg 1bd Tab lenazolinid 600mg 1bd Antiinflamatory Rest to foot Offloading of wt Once good granulation is seen adv SSG

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? NODULAR VASCULITIS .. ? PANNICULITIS .. ? DIABETIC FOOT ULCER .. MANAGEMENT .. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH .. INSULIN .. OHA .. ENDOCRINOLOGIST OPINION .. WOUND MANAGEMENT WITH SURGEONS OPINION .. INVESTIGATIONS..WITH .. HEMOGRAM .. URINE ROUTINE .. BSR..HBA1C .. SWAB C AND S..EXAMINATION..

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Diabetic foot Non healing ulcer Cellulitis Strict control of diabetes with insulin EUSOL dressings for 5–7 days TBACT oint locally Antibiotics orally Gabapentine 300 mg bd Keep foot in elevated position Wound is good After 7 days of dressings Skin grafting

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Ceftam 500 mg Tab (12) daily two limce Tab chewable betadin losion fusigin powder sofratrule pocket dressing day by day chemoflam tablet moktel tablet daily one

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Uncontrolled diabetes ,non healing ulcer indicate cellulities in diabetic foot, Do BSF,PP,HBA1C LFT,KFT,CBC LIPID, PROFILE ,Start inj Pipzo 4.5 gm iv bd Inj metron iv Bd,Tab pan 40 1tab od,Tab Dilona sp 1tab Bd ,wound debridment,offloadingof foot Start Insulin according to Bs level Tab Ato Z 1tab daily

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Diabetic foot and it may be burgers disease ? 1-Insulin start immediately to control the sugar . 2-HbA1C ,CBC ESR , Kidney function test , lipid profile thyroid profile test Urine RM Culture, LFT 3-Should be done dressing properly 4-Protein and folic acid suppliment 5-Broad spectrum antibiotics 6-Rest and leg should be kept on heart' level

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Diabetic foot Strict RBS controll with good antibiotics coverage with surgical intervention is the treatment of choice

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Dibetic Foot First Controll Sugar Do Raktamokshan With Jaloukacharan repeat after 15 days Vrun Dhavan With Panchvalkal Kwath Or Trifala Haridra Dway Kwath., Dressing With Vran Shodhan tail Or Jatyadi tail Or Nimb tail Gandak rasayan , Soovarna raj Vangeshwar With rakta Pachak Yog Chopchini Choorna Or Chopchini Kwath But jaloukacharan Is Must And Sugar Controll Is Also important Adv to avoid Atyamboo Pan ( Excess Drink Of Water

Diabetic foot. Control diabetes. Insulin. Linzid. Eosol betadine dressing

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Non healing diabetic ulcer Xray foot ap lateral Hb1ac fbs ppbs Daily dressing Aug 625 bd

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