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.

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? 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..

Tnx Dr Shivraj Agarwal sir
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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

Thanx dr Kute Ankush
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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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