Warm greetings doctor..This is a case of a large heat boil.Pt walked over a hot cement floor with his bare foot . PT's age is 94years.please provide a treatment plan..

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ASPIRATE FLUID .. CLEANING AND DEBRIDEMENT .. DRESSING WITH BACTIGUAZ.. ANTIBIOTICS AS PER NEED..WITH NSAID.. MULTIVITAMINS ANTIOXIDANTS ..VIT..C .. REST AND LIMB ELEVATION .. BLOOD & URINE.. .. SOS..

Tnx a lot Dr Abdul Majeed sir
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Exclude Diabetes, if so peripheral neuritis has to be taken care of, antibiotics orally & topically after pucturing bleb, vitc, Antioxidants antihistomonics

Thank you so much sir
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If not diabetic nothing special to be done . Just aspirate the bleb with needle . Add topical antibiotic and oral Amoxyclav 625 mg for 5 days

Absolute reply dr yogaj
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Rupture it, then dressing along with oral broad spectrum antibiotics and anti inflammatory orally. Limb elevation, ensure vascular competence.

Thank you so much sir
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Heat bleb. Rupture it Dressing with silverex and bactigauze Cleaning BROAD SPECTRUM ANTIBIOTIC NSAIDS Protein rich diet

ADVISABLE... 1. PROPER. ASPIRATION 2. A S. DRESSING 3. . PROPER. MEDICATION

Thank you so much sir
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Don't peel the blister. Just open with I'm needle aspirate the serous exudates. Give rest to foot with overlaying skin intact ,it will heal nicely. Check sugar.

Aspiration of fluid and remove dead skin ASD Antibiotics Antiiflammatories Vit

Rupture it, then dressing along with oral broad spectrum antibiotic and anti-inflammatory orally limb elevation, ensure vascular competence

Thank you so much sir
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U just aspirate the fluid and collapse the bullae. Mostly won't require antibiotics or any other medication. If patient complaints of pain or diabetic may give. Or else treat symptomatically

Thank you so much mam
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