Curofy icon for the year 2020 - Ayush

What can be treatment options.. lesion since7 days .. post ? Burns???

Attempting to manage this wound. This was the first dressing change. Hx: Diabetes-mellitus. Unsure of how wound was managed prior. Microcyn solution applied to kerlix for a wet to dry dressing. Will do a culture next dressing change. Looking for input on management for this wound.

c/o burn to a 70 year old non diabetic poor lady 15 day back in a remote village came to me today. this is present condition of wound o/e BP -140/80,, PR--80/min RS, cvs- WNL RBS-128 how to manage this case as she is poor and can't afford any procedure.

A male or 25 yrs old or having this type of dermatitis since 1 month mild itching and scaly skin. suggest the line of treatment .

A55 year old male patient presented with complains of foot infection since 2months which is associated with pain, redness, Swelling and foul smelling discharge and blackish discolouration over right foot lateral aspect and over heel region since 10days HOPi underwent debridement by local surgeon for same complaints but was done incompletely Past medical history Type2DM, HTN, DPN, PVD With ABI 0.8 and 0.9 Currently on premix insulin, Gp2+MF500+VOG0.3 Twice daily and ARB+ Betablocker for HTN and cefuroxim Antibiotics Lab TC 13000 DC 70 Hb normal RBS 117 Cr0.8 Diagnosis T2DM, HTN, DPN Grade 3 B ulcer over right foot with multiple pus pockets and necrotising fasciitis over lateral aspect and over heel region of right foot with cellulitis Treatment given 1. debridement done under Aseptic environment. And escharatomy done After irrigation Enzymatic debradace with comupimet crystal dressing done . 2.Premix insulin continued with triple combination. 3.antibiotics Cefuroxim continued and Clindamycin added 4. Changed Betablocker to CCB because it is contraindicated in PVD And added cilastazole and anti platelets 5Adviced for absolute bed rest off loading an daily dressing Respected and dear curofians kindly give your idea of any changes to do