Concluded Case

chronic sepsis of knee

Lady aged 62 yrs complaining of non healing wound in the leg since a month,got injured by an accidental fall one month back,non diabetic and non hypertensive. Got treated at her place for continuous one month without any relief. Wound was oozing out when she came to me and after 2 days of dressing and medicine she is relieved with pain temporarily and also oozing has stopped so far Attaching the reports pl help with the case.

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Concluded answer

Injury over the knee One month old Joint effusion plus High esr Consider in lines of Chronic sepsis of knee Synovial fluid aspiration through a portal away from the wound under aseptic precautions Gram stain Culture Synovial fluid analysis Xray knee Temperature chart Further planning after reports

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Nonhealing ulcer at knee Pt is nondiabetic This needs descabing as scab is seen on ulcer Dress with betadine oint Broadspectrum antibiotics Antiinflamatory Adv rest to knee or provide splint in knee joint

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? NONHEALING ULCER.. NEED'S.. DAILY.. CLEANING DEBRIDEMENT AND DRESSING WITH BACTIGUAS.. LINEZOLID +CEFIXIME AND.. NSAIDS..AS PER NEED.. VITAMIN C SUPPLEMENTS.. SWAB C AND S..EXAMINATION.. SURGEONS OPINION..

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Thrombocytopenai Anaemia None healing ulcer Esr high R/0 osteomyelitis Xray Tuberculous Mri

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Injury over the knee One month old Joint effusion plus High esr Consider in lines of Chronic sepsis of knee Synovial fluid aspiration through a portal away from the wound under aseptic precautions Gram stain Culture Synovial fluid analysis Xray knee Temperature chart Further planning after reports

Thank u for reply sir... today I did debridement of wound almost drained 300ml of fluid...her temperature is normal sir.
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Post traumatic infected wound Adv Tablet linezolid 600 mg twice daily for 7 days Mupirocin ointment local application

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wound debridemnet F/B Daily dressing with Autolyse ointment and Use Oxum spray. orally T.Linid 600mg 1OD For 5 days T.Metrogyl 400mg 1OD afternoon for 5 days T.Chymoral forte 1BD for 5 days T.Pan DSR sos T.Orofer XT 1OD For 1 month follow up.

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Dressings With EUSOL Antibiotics orally for a week otherwise skin grafting

Tnx Dr Chanchal Tiwari
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Excavate the margins

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Edge biopsy shud be done followed by debridement and wound closure after report

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I am agree with@Dr. Shivraj Agarwal Sir.

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