Non healing wound histry of trauma befor 1 yr Dx & Rx

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@Dr. Kapil Sahu Post 1yr? Todo Hba1c, fbs, cbc, c/s. It might be gram negative bacterial infection Counsel pt not to expose wound to dust and contaminated weather based on the c/s go for broad spectrum iv antibiotics w/ linezolid iv Adv antioxidants supplements Deprive wound and regular dressing w/betadine and megaheal Color Venous doppler study also helpful in case of any thrombophlebitis let me knw aftr test vl advice accordingly

CBC,FBS,ppbs,creatinine.colour Doppler study of lower leg(both arteries and veins). Debridement. Dressing.antibiotics won't help much in peripheral vascular disease.may be an arterial ulcer.treat accordingly.

Do investigations FBS ppbs CBC. Debridement. Antibiotics to cover gm+ gm- & anaerobes. Daily dressings.

Confirm ......if Diabetic foot ....gangrene also suspected...adv X-ray to rule out osteomyelitis also...then treatment can be finalised.

Get HbA1c, FBS, COLOR DOPPLER OF SAME LIMB, PUS CULTURE SENSITIVITY AT ULCER AREA

I agree with Dr.S.Kumar.

Kindly provide pt Ho and also get routine test done as cbc,fbs,ppbs,rft and debridement with dressings until reports

non healing ulcer . Incision biopsy. Sq. Ca. Xray foot.

Incision biopsy of ulcer .. Sq. Ca. Doplar scan for affected limb. Exclude dm.

Rule out Diabetes, Osteomylitis, Surgical debridement, broad spec antibiotics + dressing

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