patient had infected wound in left great toe since 3 days.yncontrolled t2dm k/c/o dm since 13 years.your suggestions.

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Diabetic ketoacidosis Diabetes mellitus Peripheral vascular Ds. D.Neuroapthy Antibiotics Analgesics Cleaning and dressing Ointments
Dibetic foot.. A diabetic foot is a foot that exhibits any pathology that results directly from diabetes mellitus or any long-term (or "chronic") complication of diabetes mellitus. Uncontrolled diabetes can damage your nerves. If you have damaged nerves in your legs and feet, you might not feel heat, cold, or pain there. This lack of feeling is called "sensory diabetic neuropathy." If you do not feel a cut or sore on your foot because of neuropathy, the cut could get worse and become infected. The muscles of your foot may not work properly because nerves to the muscles are damaged. This could cause your foot to not align properly and create too much pressure on one part of your foot. Peripheral vascular disease...is another cause of cellulitis..
IT'S A..CASE OF.. CELLULITIS..WITH..UNCONTROLLED DIABETES.. ? DIABETIC FOOT.. * STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. * CLEANING DEBRIDEMENT AND DRESSING WITH MUPIROCIN..& WOUND MANAGEMENT WITH SURGEONS OPINION.. * ANTIBIOTICS WITH NSAIDS AS PER REQUIREMENT.. * INVESTIGATIONS.. HEMOGRAM.. URINE ROUTINE.. BSR HBA1C.. SWAB C AND S EXAMINATION.. X-RAY STUDY..
Tnx Dr Rana Rajesh Singh
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Diabetic foot ask for X-RAY foot AP and Lateral, coloured USG of foot to ruled out DVT clean wound and dressed, Injection Meropenem 1gm iv bd Tab Algesia sp one bd, Start insulin
Thank you doctor
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There is huge abscess in distal foot with circumferential involvement of great toe Adv Strict control of diabetes with insulin Check for diabetic ketoacidosis and correct it Check for renal function and prerenal type of renal failure and correct it Check electrolyte and correct any abnormalities Do ECG and look for IHD Start appropriate Antibiotics Do arterial Doppler to look for arterial insufficiency optimisation followed by surgical drainage of abscess Complete drainage of pus and infected tissue is required, some times amputation may also be required, obtain necessary consent of same before hand
Long standing diabetes Presenting with infected wound lt foot Virtually it looks cellulitis for 3 days First of all assess the diabetic status control glycemia with insulin Local debridement of dead skin Broadspectrum antibiotics like amoxyclav625mg 1bd and tab lenazolinid 600mg 1bd Antiinflamatory Immobilization Dress with bactigrass It should recover
Thanx dr Taimoor dr Taimoor
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Diabetic foot, severe infection , ? Gangrene. Tight control of DM with insulin Debridement, dressings, antibiotics to cover gram negative, positive and anerobes. Looks like it will be difficult to salvage the foot. Amputation may be required. Arterial colour Doppler of the limb to check vascularity xray of foot to assess osteomyelitis
Diabetic ulcer diabetic foot See for vaculopathy Strict control of diabetes with insulin & OHA Several dressings with EUSOL If wound become healthy Skin grafting If arterial pulsation week May have to go for Amputation Antibiotics orally Antibiotics ( T Bact ) oint dressings Tab Gabapentine 300 mg b d
Thank you doctor
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Diabetic foot with infection wound better control DM diabetic foot do CT angiogram skin looks black predisposed to gangrene daily dressing with fucidin aug625 bd inj tt
Thank you doctor
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Diabetic foot and infection Dressing regularly and Orally broad spectrum Antibiotics like cv625 mg trice daily with NSAIDs brufen 600 mg twice daily Reviews every 3rd day
Thanks @Dr. Taimoor Dr.Taimoor sir
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