a 22y lady, have this kind of condition, what is the diagnosis and treatment? plz

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Since there is not much details about d ulcer n the pt only a general protocol can be advised. 1. All routine blood including sugar levels n HbA1C 2. Venous Doppler 3. Arterial if pulseless or is a diabetic 4. Wound swab for culture 5. Edge wedge biopsy of the ulcer to rule out squamous cell CA 6. Wound debraidment n daily C & D & I.v antibiotics 7. Prevent weight bearing on that limb Most importantly need to find d cause and treat it
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A non healing wound of heel - a biopsy should be taken D/D - squamous cell carcinoma of heel Other lesions of arm are looking like pyoderma gangrenosum Investigations Biopsy X- Ray of foot. Treatment depends upon the biopsy report
Yes sir will share with you biopsy
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Can you kindly provide details of Duration, pattern Profession of patient Exposure to animals sheep, cattle Past history of chronic diseases in family Diabetes Inflammatory bowel disease Vasculitis and joint pains Thanks
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Nonhealing wound on heal Rt. Foot. xray About DM history is not mentioned. However clean the wound daily with Betadine lotion and apply Betadine oint. Adressing with Sofratulae .After granulation skin grafting.
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Biopsy of the heel ulcer . change the footwear. Review with biopsy.
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Pyoderma Gangrenosum./Echthyma Gangrenosum.?
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22 year lady .diabetic unlikely.still u should role out.debride the wound first.this will give an idea regarding the size of the defect.it tendon and bone Are not exposed skin grafting is the option.if tendoachilles or calcaneum is exposed the. Flap coveragexis required which is done by plastic surgeon
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Debridement of necrotic tissue and VAC should be applied.tendoachillis should be examined and splintage with effective limb elevation should be done . antibiotics should be given as per culture and sensitivity.
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Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
Congratulations! Your case has been selected as Case of the day and you have been awarded 5 points for sharing the case. Keep posting your interesting cases, Happy Curofying!
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