Concluded Case

89/F DM 30YRS + HTN 30YRS+ HYPOTHYROIDISM 3YRS+ HYPERURICEMIA 10YRS + DEVELOPED SUCH BLISTERS ON RT LEG B/L PEDAL OEDEMA +++ OBESE + B/L VISUAL LOSS the BLISTER HAS RUPTURED 3 DAYS BACK AND SINCE THEN THE WOUND IS OOZING WATERY FLUID CONTINUOUSLY PLEASE COMMENT

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Concluded answer

Needs strict glycemic control. If patient is on Amlodepine which causes pedal oedema switch over to telmisartan + chlorthalidone which will reduce pedal oedema. As patient is hypothyroid - get a repeat TSH done and readjust the dose ofL- thyroxine Also get hyperuricaemia controlled. It seems patient is anaemic and may be having hypoproteinemia . It present it is to be corrected. Blisters need to be dressed with mupirocin ointment and oral Amoxyclav for 5 days

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Needs strict glycemic control. If patient is on Amlodepine which causes pedal oedema switch over to telmisartan + chlorthalidone which will reduce pedal oedema. As patient is hypothyroid - get a repeat TSH done and readjust the dose ofL- thyroxine Also get hyperuricaemia controlled. It seems patient is anaemic and may be having hypoproteinemia . It present it is to be corrected. Blisters need to be dressed with mupirocin ointment and oral Amoxyclav for 5 days

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Since old age pt having long standing comorbidies Seeing pictures look LSC eczematous on legs and itching has peeled of the skin Blisters are by virtue extravasetion Need to be treated cautiously Control the diabetes and bp reduce oedema by diuretics keeping uric acid in control Pt also has hypothyroidism hence check tft and titre the doses of L-thyroxine Locally mupirocin oint on wounds and lobate-s oint on lesions Tab Levocetrizine5mg 1bd for itching

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BULLOUS DIABETICORUM WITH CELLULITIS AND... CHRONIC RENAL. FAILURE

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IT'S A CASE OF.. BULLOUS DIABETICORUM.. LEADING TO..FORMATION OF.. CELLULITIS..

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Bullous Diabeticorum

Bullous diabeticorum

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She develop simple blister which is rupture and now covert in to CELLULITIS legduo to longstanding uncontroll dm. So kindly send 1) FBS,PP2BS 2) HBA1C 3) CBCESR 4) CREATINE 5) TFT 6) URIC ACID treat with 1) broad spectrum antibiotic 2) NSAID 3) chymoral forte 4) regular dress properly and if oedema and erythma increases then glycerine-megsulf bandage.

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Diabetic Blisters Tight control of DM , Check TSH, Check for diabetic nephropathy ,hypoproteinemia, anemia to explain edema ankles Diabetic Blisters are usually caused by D . Neuropathy . Simple cleaning of the blisters and application of fucidin oint needed

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Plz check her kft.and urine ... Ckd also present as pitting pedal edema.. She has many risk factors for CKD.. Give dytor plus 5mg half tablet od. Raise the leg. Do sumag dressing

Diabetic blister control diabetes give aug625 tds 5 to7 days wysolone 10 mg tds 3 days oozing will stop proper removal of skin dressing oint fucidin

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