Concluded Case

Cellulitis lower leg - Management?

54 years old female with history od sudden onset right leg oedema,redness and severe pain .4 days duration. O/ Examination- Cellulitis , Erythema and tenderness right lower leg - whole of foot and up to just before knee . Colour Doppler study of lower limb vessels is normal .No DVT . Comments upon X-- ray

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Talar break sign seen in tarsal coalition.It may be bony,fibrous or cartilaginous . There is some sclerosis ,arthritic changes in talonavicular joint. Get a mri of foot to rule out tarsal coalition. The pain may be due to cellulitis .Treat accordingly

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Talus spur may cause soft tissue injury This can cause Cellulitis, requires to be treated with antibiotics

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As the picture shows it seem to be case of degenerative change of ankle may be with some effusion which got infected giving rise to swelling of foot and ankle with spreading cellulitis of whole lower limg characterised by redness swelling and pain Rule it where there is any diabetes or not Limb to be kept elevated Ankle exerscises Inj Ceftriaxone 1 gm + Salbactum 500 mg iv bd Tab chymoral forte one thb tds Analgesic an per requirement Blood for complete examination CRP

SUGGESTIVE OF ACUTE CELLULITIS AND DEPENDENT. EDEMA... SECONDARY. TO... ..ACUTE. EXACERBATION. OF CHRONIC. TALONAVICULAR. ARTHRITIS. ADVISABLE... SYMPTOMATIC MANAGEMENT NEEDS. ALL. ROUTINE. INVESTIGATION ...RULE. OUT D. M.....

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Talar break sign seen in tarsal coalition.It may be bony,fibrous or cartilaginous . There is some sclerosis ,arthritic changes in talonavicular joint. Get a mri of foot to rule out tarsal coalition. The pain may be due to cellulitis .Treat accordingly

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OA ANKLE AS talus spur Sclerosis navicular Planter facial thickening All this causing soft tissue swelling which got secondarily infected and hence cellulitis

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Arthritis ankle Calcaneal spur Plzz check cbc CRP treat with broad spectrum antibiotics and anti inflammatory Necrotising fascitis consider also

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? LOWER LEG.. SOFT TISSUE.. CELLULITIS.. SECONDARY TO.. TALUS PATHOLOGY.. & .. SCLEROSIS.. NAVICULAR.. BONE..

Tnx Dr Vipin Bihari Jain
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Talonavicular arthritis as such in x ray ruled out But clinically its cellulitis treat accordingly

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Cal sneak spur formation. Limb elevation with Penicillin group agent. Linezolid. Is ideal agent.

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Severe talonavicular OA Could be secondary to flat foot May not be related to present problem

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