patient suffering from this lesion last 15yrs .age 55yrs,male. non diabetic.treatment done before 10years ago.at present no such medication last 5yrs. please Rx/DX.

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IT'S A CASE OF.. CHRONIC..NONHEALING ULCER FOOT.. ? DIABETIC FOOT.. ? MALIGNANCY.. NEEDS CLINICOPATHOLOGICALLY EVALUATION.. BLOOD CBC CT BT PT... URINE ROUTINE.. BSR HBA1C .. PUS C AND S EXAM.. BIOPSY STUDY.. COLOUR DOPLER STUDY.. MEANWHILE TREAT WITH.. CLEANING DEBRIDEMENT AND DRESSING WITH ANTISEPTIC ANTIBIOTICS OINTMENT MUPIROCIN.. BROAD SPECTRUM ANTIBIOTICS WITH NSAID.. MULTIVITAMINS ANTIOXIDANTS USEFUL.. PROCEEDS AS PER REPORTS..WITH EXPERTS OPINION..

Tnx
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Chronic non healing foot ulcer ? Hansen's ulcer with secondary infection due to poor hygiene ? marjolin ulcer As it's mentioned, pt is non diabetic, do his recent sugar profile with hba1c.. can't diagnose as diabetic foot ulcer unless he's lebelled as diabetic Is he a SMOKER?? Cholesterol profile? ? vascular stasis ulcer ? pyoderma gangrenosum

I agree
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Chronic non healing wound * Osteomyelitis with gangrene * CA * Bone TB ADV CBC RFT LFT BLOOD SUGAR FASTING PP HIV CT BT PT INR, thyroid profile urine routine X-ray foot Colour Doppler Tissue / pus for culture & HPE Cleaning of wound NS Betadine solution and H2O2 Bectigras dressing + T bect ointment dressing Limb elevation Antibiotics as per culture report CORRELATED CLINICALLY FOR FURTHER MANAGEMENT

Thank you doctor
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On perusal of foot it looks to be a c/ o leukoderma /vitiligo bcz of that vary poor circulation in affected area resulting cracks and ulceration since it seems never advised for off loading the wt on affected foot hence a nonhealing trophic ulcer .tvnc should be r/o by tissue biopsy Rx proper debridement and dressings with normal saline should give granulation rest is necessary give broadspectrum antibiotics send c&s Rest of treatment as per biopsy and culture reports

Thanx dr Shital Jadhav
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X-ray Biopsy for histopathology See for diabetes, reynauds,neurosensory impairment, bone infection Once they are done consider for Wide excision and skin cover If malignant consider for amputation.

Agree with you sir. Looks like chronic osteomyelitis
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Chronic non healing gangrenous ulcer. Ad- Colour doppler LL to rule out thromboembolic disorder, Skin biopsy. Start oral anticoagulants,, broad spectrum antibiotics

Thank you doctor
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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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Chronic non healing gangrenous ulcer. Need proper clinicopathological evaluation .

Valuable opinion
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Chronic non healing wound Do biopsy first for CA Do C/s also Broad spectrum antibiotics Proper cleaning and dressing Consult to plastic surgeon for skin grafting

Thank@Dr. Shital Jadhav
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Diabetic foot ulcer, neglected trophic ulcer of the foot

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