Case of the day

Diabetic Foot??? What next?

Male Diabetic with foot pain and ulcer in leg... since 2 months... came for further treatment What is next plan? What type of evaluation needed?

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Diabetic foot Nonhealing ulcer Necrotising ulcer Needs extensive debridement and off loading of weight Irrigation with h2o2 and NS Dressings with placentrax gel Tab lenazolinid 600mg 1bd Needs to assess circulation in foot But may need Amputation BK

Thanx dr Akash Sangwai
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Chronic trophic ulcer ,over 1st metatarsal head , diabetic ulcer , Hansens to be ruled out. Assessment of control of DM. Tight control with insulin . Check for anesthetic foot, due to diabetic neuropathy. Arterial color doppler to rule out ischemic limb . Xray foot to rule out bone involvement. Debridement, dressings , rest , antibiotics, vitamin B1,B6,B12 , special foot wear to redistribute weight bearing Patient education.

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रोगी मधुमेह जनित दुष्ट व्रण से पीड़ित है। चिकित्सा संबंधी योग,,, प्रथम रोगी की मधुमेह को नियंत्रित करें इसके लिए,,, बसंत कुसुमाकर रस 1 रत्ती सत गिलोय 4 रत्ती शहद में मिलाकर सुबह-शाम सेवन कराएं। 2,,, गैंदा के फूल और हल्दी को गाय के मूत्र में पीसकर लेप करें और फिर उस पर पट्टी बांध दें। अगले दिन सुबह गाय के मूत्र से धो लें और फिर यही कार्य करें। निश्चित रूप से लाभ होगा। योग परिक्षित है। पिछले 40 वर्ष से प्रयोग कर रहा हूं।

Thank you doctor
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? NONHEALING ULCER FOOT WITH.. DIABETES.. ? DIBETIC FOOT.. NEED'S.. * STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. * CLEANING DEBRIDEMENT AND DRESSING WITH MUPIROCIN.. * WOUND MANAGEMENT WITH SURGEONS..OPINION.. * HEMOGRAM.. URINE ROUTINE.. SWAB C AND S EXAMINATION.. BSR..HBA1C.. X-RAY STUDY .. * BS .. ANTIBIOTICS COVERAGE WITH NSAIDS AS PER REQUIREMENT..

Tnx Dr Sarath Kumar
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Debridement nd excision of callus should be done ....along with this offloading is mainstream of treatment......if u won't offload the wound reoccurrence chances are high......as him to.wear Anterior orthowedge

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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!

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Diabetic nonhealed necrosed wound need Debridement and dressings with foam pad ,strictly control Blood SUGAR, Antibiotic and NASID and VITAMIN C

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Blood sugar control Clean wound thoroughly Dressed well Oraly antibiotics Follow well Don't require amputation Surgically clean wound

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Gangrene of foot due to uncontrolled diabties. Sugar control + surgeon opining Antibiotics and chemotrypsin for wound managment

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Initially it needs debridement followed by daily dressing e ointment like Ampucare rest antibiotics , sugar control such be done

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