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89 year male pt. urine incontinence pain in his genitals what can be the diagnosis

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It can be scrotal cellulitis due to continuos urine soakage due to incontinence To see wheather pt is diabetic or not Blood sugar and HbA1c and to take measure accordingly Scrotum is found to reddish in colour It should be differentiated from Fournier's gangrene or necrotising fasciatis A. Indwelling Folley's catheter and to maintain l/o chart B inj Ceftriaxone 1 gm im/ IV bd C. Tab Chymoral forte one tab tds D. Analgesic may be given parenteral form Inj multivitamin. IV infusion daily To watch for progress of the pt wheather contion improving of not if not and the condition of cellulitis is heading towards gangreneous change the facsitomy and debribement of necrotic materials Culture sensitivity of pus for proper antibiotic Regular dressing and debribement if necessary To maintain the vitals IV drip to maintain with 5% glucose and Ringer lactate Blood for LFT and Kidney profile To take care because these pt may land in septaecemia.
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It can be scrotal cellulitis due to continuos urine soakage due to incontinence To see wheather pt is diabetic or not Blood sugar and HbA1c and to take measure accordingly Scrotum is found to reddish in colour It should be differentiated from Fournier's gangrene or necrotising fasciatis A. Indwelling Folley's catheter and to maintain l/o chart B inj Ceftriaxone 1 gm im/ IV bd C. Tab Chymoral forte one tab tds D. Analgesic may be given parenteral form Inj multivitamin. IV infusion daily To watch for progress of the pt wheather contion improving of not if not and the condition of cellulitis is heading towards gangreneous change the facsitomy and debribement of necrotic materials Culture sensitivity of pus for proper antibiotic Regular dressing and debribement if necessary To maintain the vitals IV drip to maintain with 5% glucose and Ringer lactate Blood for LFT and Kidney profile To take care because these pt may land in septaecemia.
HbA1c is 11.5 S.creat is 1.18 Pt. Is having a history of prostate cancer Usg shows over distended urinary bladder with cystitis with debris within, urinary retention Hydronephrosis and hydroureter
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Cellulis scrotum Antibiotics orally Anti inflammarory analgesics Rest to scrotum by puttin bandage to both thighs keep scrotum elevated on this support
Thanx
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@Dr. Hemangi Pethkar @Dr. Pushker Bhomia @Dr. Mansukh Shah
Malignancy Prostrate, stone at the vasico urethral junction,
Scrotal cellulitis

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