Diabetic Foot.
Uncontrolled T2DM (Drug Defaulter) with Diabetic foot and D. Nephropathy? Chief Complaints A 55 yr old lady has come with wound over Rt foot. H/O maggot removal from the wound 1 week back. Also history of fever 2 days back. She is a k/c/O T2DM on irregular medication. No Associated features or H/O HTN, Thyroid disorder, substance abuse etc. Pt was admitted and Routine Ix along with Covid RAT was advised. Wound was debrided and sent for C/S. Her Ix showed sepsis , low Hb, proteinuria and pseudomonas sensitive to Amikacin in debrided tissue culture. Fundoscopy was done showing no Retinal changes. Rest Ix are normal. Pt is presently doing well on medications.
? DIABETIC FOOT.. NEED'S.. STRICT GLYCEMIC CONTROL WITH ANTIDIABETIC MANAGEMENT WITH EXPERTS OPINION.. CLEANING DEBRIDEMENT AND DRESSING WITH MUPIROCIN.. BS..ANTIBIOTICS..LINEZOLID +CEFIXIME.. WITH.. NSAIDS..AS PER REQUIREMENT.. WOUND MANAGEMENT WITH SURGEONS OPINION..
Diabetic foot Uncontrolled and irregular treatment with noncompliance Your approach is appreciable Since organism is identified and sensitive to amikamicin so carry on as pt is responding Keep control of diabetes and possibly on insulin
Diabetic foot , ? underlying PPKD, needs debridement and dressing, rest for the limb, antibiotics. Uncontrolled DM , needs insulin for tight sugar control.. Anesthetic limb, needs foot care, MCR footwear, neurotrophic vitamins. Suggest arterial color doppler of the limb, and correction of vascular occlusion and stenting Correction of anemia., hypoproteinemia. Xray of foot to rule out OM .. Needs cooperation of patient and attenders, since this is a time and resource consuming exercise. Patient education is important. .
Ulcer looks good Adv Strict control of diabetes with insulin Off loading of ulcer with hind ortho wedge footwear Limb elevation
Insulin and antibiotics with limb elevation and wound dressing ensure blood supply to the affected limb.
Diabetic foot ulcer Regular dressing and need to take care of wound Monitor regularly the vitals GRBs and bp
Strict control of the diabetes mellitus, debridement and dressing,Inj. Amikacin,linezolid etc
Suggestive of Diabetic foot Need tight glycemic control Analgesic Antibiotic combination Augmentin 625 tds Metrogyl 400 mg tds Cleaning Debriment and dress with megaheal ointment regular Regular blood sugar level check And manipulate drug dose per condition
FOOT ULCER WITH SEPSIS AND UNCONTROLLABLE DM ANTIBIOTICS CETRIAXONE FOOT ULCER DRESSING AND MUPIROCIN OINTMENT UNCONTROL DM STRICTLY CONTROL
Rx Teneglipten OD Piomed 15 after dinner Metformine 500 BD For diabetic foot Inj amukacin 500 BD Dolowin plus TDS Cefakind 500 cv BD dressing BD
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45yrs diabetic male.. with this tropic ulcer since 1 yrs.. Treated by various doctors .. The ulcer area heals and recurs again at the same spot.. Too much keratinization seen surrounding it .. No sensation of pain felt.. Debridement and dressing done (with megaheal) by me along with antibiotics (augmentin).. Tough diabetes is controlled and brought below 180 post lunch.. No other comorbidities present.. Kindly guide me with the management and m also worrisome regarding it reoccurring... Thank you...
Dr. Faizan Khan Nizamuddin2 Likes20 Answers - Login to View the image
A 45 year old female presented with this non healing wound due to toe-ring over second toe anterior aspect of left foot for past 10days. She has been getting injection cefotaxim twice daily from another practitioner. She is a known case of T2DM. Weight - 55 kg Height - 165cm BMI - 20.22 Her present RBS is 260mg/DL I have asked her to get HBA1C, FBS AND PPBS, which I will update soon. Meanwhile sir what antibiotics, OHA and topical application would be best suitable for such patient. @Sepuri Krishna Mohan Sir, I need your valuable advise too.
Dr. Ajeet Pal Singh3 Likes29 Answers - Login to View the image
Spot the diagnosis. 61 yr old male having Diabetes mellitis.
Dr. L.r. Ahirwar0 Like22 Answers - Login to View the image
A 63 year old female presented with non-healing ulcers over bilateral soles of 1 year duration and surrounding skin thickening of 6 months duration. She is a known case of diabetes mellitus on oral hypoglycemic agents for the past 10 years. She gave history of repeated plantar ulcers and reduced sensation over bilateral feet up to the ankle region. Comment on the diagnosis and mx.
Dr. Sriram Attri2 Likes24 Answers - Login to View the image
A 61 Years old Male Patient Presented With Complaint of Non Helaing Ulcer On Lateral Malleolus Of Right Leg Since From Last Three Months. Patient Is Not Having Associated History Of Diabetis Melitus, Hypertension,Bronchial Asthama Patient Was Owner Of Grocery Shop From Last 30 Years Smoking History Is Present Associated Complaints Are Attivivrttavarna,Utsanna,rRakthavrana,Sravi, Daha,Shopha Provisional Diagnosis Is Dusta Vrana With Vatapradhanatridoshaj Vrana On Examination Reddish Large Ulcer With Sloping Edges Along With Mild Serous Discharge Around Lateral Malleolus Of Right Leg Dimension Of Ulcer Is 3 cm in Length,2 cm in Width,And 1.75cm in Depth Approximately. Aa Also Blackish Discoloration And Burning Pain Grade III Tenderness . Please To Advice Management
Dr. Ashish Deshpande8 Likes16 Answers
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