Diabetic with skin ulcer on both lower limbs

There is no picture where the skin ulcers are on the dorsum or Plantar aspect of the foot or on the legs. Is her blood sugars are under control? Give detailed history while presenting a case. Control her Diabetes mellitus with premixed human insulin if her skin ulcers are not healing. Advice bedrest . A course of antibiotics. Tissue lytics Limb elevation and rest to the effected part. Wound cleaning and proper dressing with control of Diabetes , ulcers will heal. If there are no improvement do vascular Doppler of both lowerlimbs to assess the blood flow or to rule out venous obstruction, or varicose veins or DVT.

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