CELLULITIS/?. OSTEOMYELITIS

65yr male known alcoholic presents with serous discharge from right leg since 10days.had similar H/0 in past. Investigations CBP-wbc-13000 PMN-80% L-14% PLC-2,89000 non diabetic TSB-2.3 CREATININE-1.38 T.Protein -7.3 Albumin-4 Globulin-3.3 CUE- pus cells 10-12/hpf,albumin 2+,BS/BP -Positive USG-grade 3 renal parenchymal disease. Management Differential diagnosis and how to further proceed with the case.

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Dear dr Karthik Kumar Your pt is alcoholic and LFTS are suggestive of persistant jaundice as bs/bp are present with Tbs 2.3mg This needs to be adressed adv usg abdomen KFTS shows raised 1.38 Thus pt is in HEPATORENAL FAILURE Urine shows 10 to 12 pus cells with TLC is 13000 correlating with infection Now site of infection is picture of leg better if xray should have been posted to understand bone for osteomyelitis Yes discharging sinus suggest underlying osteomyelitis or burst abscess sos cellulitis Rx manage stasis bilirubininia by iv fluids Diuretics Hepatocellular regeneratives Antacids Ppis Broadspectrum antibiotics inj lenazolinid Inj piperacillin+inj tazobactum Local curettage and dress with mupirocin Send discharge for c&s And get xray done Post followup

Thank u so much for ur detailed explanation sir..
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? CELLULITIS.. ? UNDERLYING BONE..SOFT TISSUE PATHOLOGY.. NEED'S.. X-RAY STUDY.. PUS C AND S..EXAMINATION.. MEANWHILE.. BS..ANTIBIOTICS WITH..NSAIDS AS PER REQUIREMENT.. OINTMENT..MUPIROCIN..

Thank u sir
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Cellulitis of right leg Adv T. Linezolid 600 mg one tablet twice a day Limb elevation Tablet lasilactone one tablet daily

Thank u sir.
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Seems to be Osteomyelitis X-ray leg C/S of discharge from wound After results of reports start treatment

Thank u so much sir for your reply at this hour.
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Cellulitis Jaundice Renalparenchymal disese Xray Opinion of surgeon Uti urine for culture and sensitivity Chance of fascitis

Thank u sir...
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Cellulitis like picture Esr ? Arterial and venous doppler Xray leg

Cellulitis. Blood urine Bsr . Xray

XRAY ? OSTEOMYELITIS ? CELLULITIS ?

Diseases Related to Discussion

Osteomyelitis
Cellulitis