One month old was born prematurely . developed these lesions after iv cannulation at that tym during nicu stay. what the diagnosis and treatment.

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THE SKIN LESION LOOKS LIKE GANGRENE. DX : I.V. CANULA ABSCESS LEFT HAND. R/O : GANGRENOUS WOUND LESION. X--RAY UPPER LIMB BOTH RADIUS & ULNA RULE OUT OSTEOMYELITIS. RX : ANTIBIOTICS I.V. AS PER C/S STUDIES. PEDIATRIC SURGEONS OPINION FOR DEBRIDEMENT OF TBE WOUND.

Full thickness loss of skin over middle of forearm . Sterile drrssing to continue allowing granulation to develop and try collagen skin on granulation tissue.

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Canulation abscess looking gangrenous Remove slough apply fusidic cream and take opinion of plastic surgeon

Extravasation leading to local necrosis, debridement and dressing with hydrogen peroxide and betadine . Seratopeptidase and antiinflammatories along with appropriate antibiotics depending upon counts, CRP and local and blood culture Might require very prolonged dressing

Canulation access , daily dressing , till granulation tissue appears and than plastic surgery consultation for reconstruction of the wound by ? Skin grafting

Full thikness skin loss. debridement under short ga. collagen dressing. oral antibiotics n anti inflammatory. Daily dressing.

Extravasation of some drugs like dopamine, calcium may cause necrosis n gangrene..... Pedia surgeon opinion and manage accordingly

It's an abscess.

Look very bad to be caused by iv Cath, not a common site of iv Cath

I agree with Dr A Pareek

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Osteomyelitis