Concluded Case

ARTERIAL ULCERS

Unhealed ulcer, Diabetic But good glycemic contro 48 years male Chronic smoker No other comorbidities Unhealed ulcers since 2 years... Treatment pattern?

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Concluded answer

Multiple round and punched out with defined edges located on anterior and over the malleolus areas of the legs. Shallow ulcer , and surrounding areas of the skin is smooth, shiny, taut and dry with hairless, no pulsating areas near ulcers more favour to ARTERIAL ULCERS. Treatment.... Elevation of the affected part. Topical therapy... Cleansing .... Dressing ...with Autolyse, silver nitrate washing Systemic therapy...depend on respond Surgical intervention..

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Multiple round and punched out with defined edges located on anterior and over the malleolus areas of the legs. Shallow ulcer , and surrounding areas of the skin is smooth, shiny, taut and dry with hairless, no pulsating areas near ulcers more favour to ARTERIAL ULCERS. Treatment.... Elevation of the affected part. Topical therapy... Cleansing .... Dressing ...with Autolyse, silver nitrate washing Systemic therapy...depend on respond Surgical intervention..

@ venous color Doppler ; if any finding a tt accordingly ; to heal the the ulcer ; tab amoxyclav ; cleaning with iodine ; silverex ointment

Venous ulcer due to venous insufficiency Vascular surgeons opinion may help

Dd : Pyoderma gangrenosum ..