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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? 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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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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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!

Thank you doctor
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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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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

Thank you doctor
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Diabetic non healing ulcer DD callosity Xray Ct angiogram Opinion of vascular surgeon or podologist

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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

Thank you doctor
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Beetroot coriander juice sweet potato corn cauliflower broccoli purple cabbage cabbage juice orange juice Raw tomatoes... sulpha if tolerant turmeric powder paste ginger apricots dates pomegranat es muskmelon sproutskalijeeri... cold pressed coconut oil massage and in naval lime juice pineapple with black pepper...no sugar no nonveg diet no eggs no mushrooms no fried foods no processed or fermented foods and beverages no vyasan..pista chickpeas...under strict supervision of Doctor

Diabetic foot Glycaemic control Ray amputation

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