Concluded Case

Deformed lip

Daily labourer came with the presentation of deformed lip Gives history of multiple honey bee bites and treated by local RMP Suggest plan of treatment

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Concluded answer

Allergic condition. With 2ndary bact inf. Should be admitted to maintain proper hydration and doses as pt may not be able to take oral intake. Antibiotics ...inj ceftriaxone 1gm bd iv Saline wash daily for 3/4 times Chlorhexidine gargles. Inj diclofenac 75 mg round the clock Inj vitcofol c daily in 100ml NS Tab paracetamol sos. Such presentation may lead to systemic infection or can land in septicaemia So observe meticulously ....Specially Wbc count Platelets LFT KFT CONTINUE THE MANAGEMENT AS PER DAILY TPR AND INVESTIGATIONS.

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Crusted ulceration lips You did not mentioned the period of lesions First clean and debride the lesions apply mupirocin oint twice daily and mucopain gel Oral antibiotics tab azithromycin500mg 1od Antiinflamatory Multivitamins Send lesion tissue biopsy for hpe

Thanx dr Dinesh Gupta
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Allergic condition. With 2ndary bact inf. Should be admitted to maintain proper hydration and doses as pt may not be able to take oral intake. Antibiotics ...inj ceftriaxone 1gm bd iv Saline wash daily for 3/4 times Chlorhexidine gargles. Inj diclofenac 75 mg round the clock Inj vitcofol c daily in 100ml NS Tab paracetamol sos. Such presentation may lead to systemic infection or can land in septicaemia So observe meticulously ....Specially Wbc count Platelets LFT KFT CONTINUE THE MANAGEMENT AS PER DAILY TPR AND INVESTIGATIONS.

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? EROSIVE ULCER LIP.. ? MALIGNANCY.. NEED'S.. HPE..STUDY..

Tnx Dr Ram prasad Sah
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ADVISABLE 1. ALL. ROUTINE. INVESTIGATION 2. BIOPSY 3. X. RAY.. 4. BLOOD. AND. URINE..... ......CULTURE AND SENSITIVITY 5. SYMPTOMATIC. MANAGEMENT... ...TILL. REPORTS

MUCOSAL ULCER ? SJS Duration since the bite? Medication by RMP? Adv: FBS, CBC, C&S, VIRAL MARKERS Inj XONE XP 1.125g bd Inj DOXYCYCLINE 100mg bd with 100ml NS Inj DICLOFENAC 50mg bd Inj MVI HEXIGEL all over the mucosa and ulcer area Chlorhexidine gargling bd Debridement of necrotic tissue and wash with H2O2 and NS

It's an allergic issue So hydrocortisone inj. 2. To prevent bacterial infections -ceftriaxone inj. 3. To reduce pain - Inj diclomol 4. Debride the tissue - by h202 diluted with water. 5. Application of butadiene ointment daily. 6. Also, as it will be difficult to eat - so recommendation of proteinex powder 7. No hot water saline gargles or phitkari 8.no hot food Also give due consideration to the fact if there is any swelling seen in the throat, or anything blocking the airway.

I agree
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Debridement and clean repair once wound is clean

Ulcer ? Cancer ? Biopsy Derbies remove and Zytee

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