A 45Y MALE PT HAVING BURNING SENSATION AND PARASTHESIA PLZ DX AND RX

2 Likes

LikeAnswersShare

Investigation for Blood sugar F & PP Culture of pus Dressing of wound with Betadine solution + Muprison + Neosprin powder dusting Alternative dressing Inj lincomycin IM BD inj Cetrioxozone 1 gram iv slow Tab Ceftum 500 BD Tab Ornidazole BD Tab Chymotrypsin BD Tab Aceclofenac Paracetamol saeropeptidase BD Tab Pantaprazole OD Tab Multivitamins OD for 3 weeks .

It is a chronic skin lesion, involving Nerve thus causing Parasthesia, & Burning sensation due to chronic ulcer. D.M. to be ruled out, & needs stringent CULTURE/SENSITIVITY study to give correct Treatment then one has to go for SKIN GRAFTING. Dr Brahmananda.

healing ulcer.should be managed with pus culture sensitivity and antibiotics accordingly, saline dressing , when healthy granulation tissue appear then split skin grafting should be done

mode of ulcer formation?? h/o DM? pus culture and sensitivity? antibiotic,analgesic, anti inflammatory,pantaprazole and b-complex with zinc

split skin grafting solves the problems in 10 days. Ideal time to do it. Straight forward solution and a definite one too.

mode of ulcer formation?? any past h/o burns , Tb, diabetes , htn, syphilis??are locoregional lymph nodes palpable ??

Ulcerative lesion, advised B- complex with zinc, antibiotics, anti inflammatory. Pain is due to open nerve endings.

I request the presenting doctor to write a brief history along with the photos. Without knowing about the cause of such a large area being ulcerated, the diagnosis can not be definitive. I agree with Dr Giridhar's view about the ulceration and will add that it can need skin graft to cover bcz of such a large denuded area. Pregabalin and tramadol preprations will help relieve the pain

Exactly dear Ashok
0

present state of the wound is healthy well formed granulation tissue. It needs skin grafting for faster recovery. Underlying main problem has to be addressed too. simple aseptic saline dressing will do.No need of any antibiotic. Pegabolin and tryptomer orally.

Do the routine investigation. How this wound progressed? Clean the wound with normal saline dressing with lignocaine gel n antibiotics orally according to sensitivity from the culture from wound site. General tt according to pathological report

Load more answers

Diseases Related to Discussion

Cases that would interest you