A 45 years old, male patient developed sudden swelling of Rt. Leg with mild pain , no h/o trauma, no h/o hypertension or diabetes . cellulitis. Please, discuss diagnosis and management.
IV antibiotics +foot elevation + crepe bandage.
*CELLULITIS RT.LOWER LEG.. D/D.. *DVT.. *FILARIASIS.. R/O..UNDERLYING PATHOLOGY WITH.. BLOOD.. URINE ROUTINE.. BSR,Hba1c.. COLOUR DOPLER STUDY.. MEANWHILE TREAT WITH.. ANTIBIOTICS WITH NSAID.. LIMB ELEVATION..
Sudden onset Unilateral Lower Limb swelling... d/d 1) Cellulitis 2) DVT 3) Filariasis (unlikely) Color Doppler with Limb elevation Anti Inflamattory dressing
Filarial lymphadenitis, diethylcarbamazapine 100 mg tid, foot end kept elevated, albendazole+ Ivermectin empty stomach, antiinflammatories, antihistomonics, antoxidants, mosquito prevention, avoid community transmission
Sudden onset Unilateral lower limb swelling. DD 1.cellulitus. 2.DVT. 3 Filariasis. Do color Doppler with limb elevation Anti inflammatory dressing.
D/d 1 lympoedema 2 dvt First investigate by colour doppler and find out circulatory status than mx accordingly Till than keep leg raised Elastocrepe bandage to be tied NSAIDs
Cellulitis, pt may develoo sudden septicemic shock, give good antibiotic cover,elevate limb, dress it with betadine. Get blood culture done & debride if blsckening of skin occurs It should be treated promptly
Dx- LIPODERMATOSCLEROSIS ? D/D-NECROBIOSIS LIPODICA ? -ERYTHEMA NODOSUM ? -LYMPHOEDEMA ?
Cellulitis with Filarial Lymphadenitis
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