Concluded Case

Case of Dm2 with foot wound

A female of 55 yrs age having history Dm2 from last 5 yrs .. Suffering from pedal wound as shown in image and worm like microbes also coming from these wound .. What should be proper management of this lady? Also on hypoglycemic drug Now given Inj.Monocef 1gm iv bd T.Azithral 500 Od

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Diabetic foot not managed as per protocols Maggots are to be cleared by turpentine Debridement of wound and irrigation with h2o2 and NS Dress with bactigrass Offloading of wt on foot Regular monitoring of bsl She needs insulin s/c and local infiltration as well Study circulation in foot by colour doppler Likely aging changes of atherosclerosis and help of vascular surgeon may be taken Also consider to consult podologist

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Diabetic foot not managed as per protocols Maggots are to be cleared by turpentine Debridement of wound and irrigation with h2o2 and NS Dress with bactigrass Offloading of wt on foot Regular monitoring of bsl She needs insulin s/c and local infiltration as well Study circulation in foot by colour doppler Likely aging changes of atherosclerosis and help of vascular surgeon may be taken Also consider to consult podologist

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UNCONTROLLED DIABETES with Diabetic foot need debridement and dressings start insulin and Antibiotic

It is most probably magots. Put s drop of diluted turpentine on wound magots will come out. Clean wound and pack with sofrsmycin tulle treatment with insuline and oral broad-spectrum antibiotic. Vic ,500mg daily and supradyl tab daily one . recovery depends upon effective blood sugar and person's immunity .avoid wheat,rice,ghee, in diet as they may increase blood sugar .

Thank you doctor
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Diabetic foot wound

Diabetic foot start insulin and Zefu 500 mg

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