Case of burn lesions

Chief complaint A 64 y/o male came with second degree burns from the hor tea over the right arm and hand. History He is diabetic. No other past medical history. Vitals BP 130/85 mmHg Temp 100.9°F, Pulse 108/minute, RR 25/minute Oxygen saturation of 99% on ambient air. Investigations Examination show pinkish patches of burns, Ruptured blisters were noted on thumb and arm and a non-ruptured blister on his index finger. No signs of acute infection. WBC 11.5 (4-10 x 10^9/L). All other values are normal. Treatment Please advise treatment.

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Debride the dead skin Irrigate with NS and h2o2 Dress with bactigrass Keep control of diabetes strictly Broadspectrum antibiotics like amoxyclav625mg 1bd Sos add tab lenazolinid Keep followup

Thanx dr Ryng Phawa
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* STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. * CLEANING DEBRIDEMENT AND DRESSING WITH BACTIGUAS.. SURGEONS OPINION FOR WOUND MANAGEMENT.. * BS..ANTIBIOTICS WITH NSAIDS AS PER REQUIREMENT..

Cap Cephlaxin 500mg bd Soframycin ointment locally Vitamin C 500mg od Tab brufen400 bd Control diabetes also

Tab. Lizolid 600mg Tab. Celin 500mg Tab. Chymoral plus Safeguard

From the photos given Majority almost 90 - 95 % visible burnt area is healed and it is covered by epithelium Only 5 - 10% area remain to be healed, and it has got bacterial infections Since it is a very small area, the infection and over all healing can occur swiftly Adv Antibiotic - T. Linezolid 600 mg twice a day for 5 days Coconut oil application to healed atea, mupirocin ointment application to small unhealthy infected area

Uncontrolled diabetes mellitus with burn injury, strict control of diabetes,Inj ceftriaxone, analgesic,silver sulphadiazine OINT

Regular bath then apply lycimond /hydroheal ointment over raw area..clindamycin and levofloxacin for 8-10 days ..optimize the blood sugar level..basic blood investigation including RFT and vitc supplements ...

18 percent burn First degree burn clean with NS oint silver sulpha tube bd Inj TT inj amikacin aug625 bd

DM level must be achieved . Antibiotics..And aseptic dressing g. NSAID. Isolation.

Burns with secondary infection. debridement, daily dressing with paraffin guage and broad spectrum antibiotic ointment. Systemic antibiotics can be given if sugar is uncontrolled or culture sensitivity demonstrates significant bacterial growth. Full Joint mobilisation both active and passive. Coconut oil massage over healed areas

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