c/o skin lesion due to using shoes since 1month swelling and slight redness (Rt foot) k/c/o Dm-2 on Rx tab zymogesic D tab sporidex t bact ointment given bt not d cure what is the possible treatment please tell nd diagnosis also
I fully agree with all of you regarding diagnosis of diabetic ulcer and management. In my impression this patient has associated leprosy with ? O.M. of little toe. Incident of DM in leprosy patients was 14.2% compare to 2% in normal population in one study as early as 1979. Leprosy wound is frequently confused with diabetic wound. We frequently under diagnose leprosy in diabetes patients. The damage caused by leprosy can be easily minimize by timely MDT for leprosy. REF: Diabetes and Leprosy: Deepak Kumar and Dibyajyoti Banerjee* Department of Experimental Medicine and Biotechnology, Post Graduate Institute of Medical Education and Research, Chandigarh, India ACTA SCIENTIFIC MEDICAL SCIENCES Volume 3 Issue 2 February 2019
Diabetic ulcer foot, control diabetes advise not to wear tight shoes
Ulcerated callus with diabetic foot D/d stasis ulcer in diabetic foot T/t : prompt DM control Regular dressing Fucibact application Antibiotics Analgesic Adv: pus c/s
Ulcerated callus Common in diabetics Avoid pressure on the the are by changing foot wear Wound care It has to heal by secondary intention Wait for few weeks before planning soft tissue cover
Ulcerated Cellus due to uncontolled diabetes...snd its not uncommon..
Diabetic foot please say to Avoid tight shoes, Control DIABETES to prescribe INSULIN ANTIBIOTIC, DRESSINGS
Ulcer-Diabetic. Control Diabetes & Symptomatic Rx.
Control DM Clean area with betadine Add directly insuline drop on that area Use broad spectrum antibiotics and with analgesic and multivitamin antioxidants Maintain hygiene, locally antibacterial ointment
Cases that would interest you
- Login to View the image
55/m k/c/o DM HTN having non healing ulcer in both foot in planter from last six month pl rx ? BS 132
Dr. Gurpreet Singh Sidhu1 Like15 Answers - Login to View the image
Non healing wound histry of trauma befor 1 yr Dx & Rx
Dr. Kapil Sahu2 Likes20 Answers - Login to View the image
60 years Lady NonDiabetic Posterior ulcer 12 days Other 4 days(cleaner n Superficial one) Non tender Loss is sensations around posterior ulcer
Dr. Satvir Chaudhry1 Like16 Answers - Login to View the image
chronic wound were present bilateral foot on the fore foot both side,in the 65 years aged women .The wound were there for more than two years. Left foot ulcer acutely exacerbates in to abscess sole with multiple sinuses X Ray left foot metatarsals were normal and phalanx in the all toes were missing due to chronic injury related infections and further healing was reported . Insensitive foot bilaterally present for all modalities of sensation . Discuss differential diagnosis and managements.
Dr. Elumalai Subbarayan1 Like25 Answers - Login to View the image
Injury before 1 month No pain What should do in this pt?
Dr. Ashwin Manipara8 Likes29 Answers
4 Likes