Paraphimosis

40/ M such swelling over neck of glans since 4-5 days painful k/c/o Dm vitals stable. afebrile. systemic examination NAD KINDLY COMMENT DD AND RX

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It is a case of paraphimosis , Manual reduction as early as possible because there is constriction band but the retracted prepucial skin if not reduced as time goes on itere will be more and more swelling causing more constriction if left untreated blood supply may be compromised Make a few puncture over the oedematous part aseptically and squeeze the fluid and try to reduce the prepucial skin in normal position , usually it is reduced if done properly . Some time it becomes difficult then may be reduced by dorsal slit.Later it can be planned for circumcision.
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Paraphimosis - A classical presentation. Manual reduction to be done urgently with multiple pricks after injecting hyaluronidase .If not done blood supply to glans may be affected resulting in impending gangrene . No other differential Diagnosis. As paraphimosis may be due to tight produce or after an insect bite . A formal circumcision may be done after few days to prevent recurrence
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Paraphimosis Swelling paraglans is induration Pt is diabetic need to assess present status and keep good control of bsl Multiple punctures in sterlised conditions and aseptic processes Reduce prepeuce sos circumcision Broadspectrum antibiotics and antiinflamatory
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DIABETIC CASE WITH.. PARAPHIMOSIS.. PRIMARILY..TREAT CONSERVATIVELY AS HE IS DIABETIC.. MANUAL REDUCTION WITH STERILE NEEDLE AND GUASE PIECE.. PLANING FOR CIRCUMCISION WITH SURGEONS OPINION..
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Paraphimosis Adv : circumsition After medical treatment
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Paraphimosis Ad circumcision
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Paraphimosis
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Paraphimosis
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PARAPHYMOSIS
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Paraphimosis
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