Concluded Case

80yrs old Male ,Diabetic bite by fox DEVELOP Gangrene. Treatment please

3 Likes

LikeAnswersShare
Concluded answer

Gangrene means amputation but point is- 1. Level of amputation , to be decided by level of spread of infection 2. Prevent further progress of gangrene by debridement & good antibiotic coverage & eusol dressing 3. Tight control of diabetes by insulin 4. Good nutrition- high protein diet

All Answers

Adv Colour Doppler cbc lft rft HbA1C CT BT PT INR Blood & infected tissue for culture Strictly DM control Shift to insulin till wound recovery Debridement of necrotic tissue as per Doppler report Wound cleaning of NS + betadine solution & H2O2 T bact ointment Co-mupiment ointment dressing Antibiotics as per calture report Vasodilater & hemolytic drugs Ppi Analgesic & antiinflametry Multivitamin antioxidants

Gangrene means amputation but point is- 1. Level of amputation , to be decided by level of spread of infection 2. Prevent further progress of gangrene by debridement & good antibiotic coverage & eusol dressing 3. Tight control of diabetes by insulin 4. Good nutrition- high protein diet

Treat with antiseptics. Take expert opinion on surgery. Give tetanus toxoid, anti rabies prophylaxis. Control diabetes within normal range with antihyperglycemics. Give antibiotics to prevent secondary infection. Observe.

Pics show gangrenous distal half of the fingers Its unfortunate but the amputation is needed It should be done under higher antibiotic cover Take your plastic surgery colleagues help to decide evels of amputation

Color Doppler study Anti rabies vaccinations along with Debridement of necrotic tissues, proper cleaning /dressing, protect spreading infection by good antibiotics ,strict control of blood sugar put on insulin.

Thanks a lot Dr Dinesh Gupta Sir Ji
0

View 2 other replies

GANGRENOUS... CHANGES.. ADVISABLE... COLOR. DOPPLER. STUDY TREATMENT... ... ACCORDINGLY

Gangrene. Do colour Doppler for venous supply &artery also. If need do amputation

Gangrene Do color Doppler for venous supply and artery also. If need do amputation

Thank you basavaraj sir
0

Seems to be wet gangrene by the picture...foul smelling?

Color Doppler for artery and vein supply Then trt

Load more answers

Cases that would interest you