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Male 64 years Diabetic patient (15 yrs) came with such lesions and pain in foot. Had uncontrolled DM on Insulin .. what is further plan of management?

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Do all the standard investigations for Diabetes and foot ulcer but don't forget to do CT angiography if not atleast arterial doppler. This is ulcer of arterial origin with standard punch out edges, site and gangrene. And for God 's sake don't do debridement. This patient will require peripheral angioplasty or Bypass surgery. Till that time do simple dry dressing.

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IT'S A CASE OF.. DIABETIC FOOT.. DIBETIC ULCER..GANGRENE.. RX.. * GOOD GLYCIMIC CONTROLL WITH DIABETALOGISTS OPINION ..T/T.. * CLEANING DEBRIDEMENT AND DRESSING WITH ANTISEPTIC ANTIBIOTICS OINTMENT MUPIROCIN.. *ORALLY BROAD SPECTRUM ANTIBIOTICS WITH NSAID.. MULTIVITAMINS ANTIOXIDANTS & .. VITAMIN C..

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Its non healing ulcer Arterial doppler X ray foot ap oblique I and D Routine lab Wound swab cultule HbA1c Control sugar Plastic surgeon opinion Diabetologist opinion Broad spectrum antibiotic Antioxidants multivitamins

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Diabetic ulcer with gangrene MRI FOOT WITH ARTERIOVENOUS DOPPLER NEEDED SEE EXTENSION AND DEPTH OF ULCER SURGICAL INTERVENTION

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Do all the standard investigations for Diabetes and foot ulcer but don't forget to do CT angiography if not atleast arterial doppler. This is ulcer of arterial origin with standard punch out edges, site and gangrene. And for God 's sake don't do debridement. This patient will require peripheral angioplasty or Bypass surgery. Till that time do simple dry dressing.

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0

I would like to add in addition to the above mentioned investigations and approach 1.Biopsy the lesion 2.do a vasculitis work including ANCA and ANA 3.Do smears and culture for fungi ,Anthrax, 4.if artery Doppler was showing significant stenosis revascularization is a must 5.foot bone X-ray and bone scan for osteomyelitis or as suggested MRI foot

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It's case of diabetic foot Diabetic ulcer Gangrene Fristly control diabetic under diabetologist treatment.... Cleaning with NS Dressing with F heal cream Orally Broad spectrum antibiotic with NSAID and Tab.Septalin Pregabalin +methylcobalamine OD with vit.c

looks like Peripheral Artery Disease doppler of b/l lower limbs needed

Diabetic control Regular check ups of HbA1C Colour doppler ofthe legs Antibiotics Debridment of the wound and ASD

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Good titre of insulin and timely debridement of dead tissue under a good cover of antibiotics

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DIABETIC FOOT. ULCERS NECROTIC. AND GANGRENOUS

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