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A 65years old female came with c/0 of fever ,loss of apetite pain in foot and ankle region ,on examination there's warmth and swelling in the foot and ankle region ...p/h/o DM+HT....what would be the diagnosis and management....on pus cs there is no growth even biopsy is normal......

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?? Madura foot .. debridement done antibiotics and anti fungal treatment given

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IT'S A..CASE OF.. DIABETES WITH.. ? DIABETIC FOOT WITH.. OSTEOMYELITIS.. ? PYODERMA..GANGREOSUM.. ? DIABETIC FOOT.. * NEED'S STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. * WOUND MANAGEMENT WITH SURGEONS OPINION.. * ANTIBIOTICS COVERAGE WITH NSAIDS AS PER REQUIREMENT.. * INVESTIGATIONS.. BSR HBA1C.. PUS C AND S..EXAMINATION.. X-RAY STUDY..

Tnxs
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DIABETIC FOOT ULCER MAY LEAD TO DIABETIC FOOT GANGRENE AS THE AREA LOOKING DISCOLORATION...AND CULTURE SHOWS NO GROWTH COMPLETE DIABETIC PROFILE,ESR, HOMOCYSTEINE, X-RAY,NCV.... STRICT GLYCEMIC CONTROL WITH INSULIN DEBRIDEMENT & DRESSING PREFERABLY TWICE DAILY WITH OINT PLACENTRAX TAB PANTOXPHYLLIN INJ/CAP RENERVE PLUS

Thanks Dr. Kute Ankush
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What is the value of BS. & HBA1C ? Cellulitis? Pyoderma Gangrinosum..

Bsl are under control...but her WBC count is not decreasing...broad spectrum antibiotics given done pus culture and tissue culte twice but no growth
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SUGGESTIVE OF DIABETIC FOOT CELLULITIS OSTEOMYELITIS SEPSIS... ADVISABLE.. .. REPEATED. BLOOD AND URINE...C / S ALSO... .. COLOR. DOPPLER

Carbuncles Hot Magsulf compress I/D Antibiotics Analgesic Antiinflammatory Antioxidant Regular dressing with Mupirocin ointment

I)D was done pus culture and tissue culture sent for sensitivity but no growth and no improvement in WBc count
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Diabetic ulcer Strict control of diabetes with insulin Debridment of wound Antibiotics orally TBact oint locally Nsaid orally

Carbuncle

?? Madura foot .. debridement done antibiotics and anti fungal treatment given

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