Recurrent UTI with T2DM with HTN

A 65 year old female presented with this wound over the leg. He has an uncontrolled diabetic and she is a cardiac compromised obese female. Wound is post debridement for cellulitis. It was operated elsewhere. Dressing with honey showing changes over a period of two weeks. What will you suggest for the treatment?

89/F DM 30YRS + HTN 30YRS+ HYPOTHYROIDISM 3YRS+ HYPERURICEMIA 10YRS + DEVELOPED SUCH BLISTERS ON RT LEG B/L PEDAL OEDEMA +++ OBESE + B/L VISUAL LOSS the BLISTER HAS RUPTURED 3 DAYS BACK AND SINCE THEN THE WOUND IS OOZING WATERY FLUID CONTINUOUSLY PLEASE COMMENT

A 62 year diabetic male teacher by profession has developed pitting swelling on upper and inner side of left foot in the evening for 2 months. In each morning swelling subsided. About 2 weeks back, an ulcer formed on inner side left foot at the base of great toe, which is speading. Inspite of daily dressing, the ulcer is not getting healed. In adition, wound & other toes getting black. Patient is on oral hypoglycemic drugs. Blood sugar level is not under control, its fluctuating between 50 to 340. Friends, please provide your valueable advice.

70 y/o female, paraplegic since 10 yrs, had developed swelling in left foot, was on UTI Rx, On insulin therapy for diabetes management.. *Chief Complaints* Mild pain sensation in left thigh and swelling in left lower limb.. *History* Patient had h/o koch's in childhood, was not treated properly.. Had h/o koch's spine 10 yrs back, after that became paraplegic.. No bladder, bowel sensations.. On foley's for 10 yrs. so h/o recurrent UTI.. *Vitals* Stable *Physical Examination* Swelling++ Tenderness++ *Investigations* Hb-9 WBC- 15500 HbA1c- 9.4 *Diagnosis* D/D- Cellulitis? *Management* Please suggest..

56yr old non diabetic non hypertensive female with history of non healing lesion over heel since 6months..not associated with itching,no pus or bleeding from the site.Her CBC is WNL XRay non significant. Kindly opine on the management. Thanks