Concluded Case

Male 64 years Diabetic patient (15 yrs) came with such lesions and pain in foot. Had uncontrolled DM on Insulin .. what is further plan of management?

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Do all the standard investigations for Diabetes and foot ulcer but don't forget to do CT angiography if not atleast arterial doppler. This is ulcer of arterial origin with standard punch out edges, site and gangrene. And for God 's sake don't do debridement. This patient will require peripheral angioplasty or Bypass surgery. Till that time do simple dry dressing.

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Gangrin

Its non healing ulcer Arterial doppler X ray foot ap oblique I and D Routine lab Wound swab cultule HbA1c Control sugar Plastic surgeon opinion Diabetologist opinion Broad spectrum antibiotic Antioxidants multivitamins

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IT'S A CASE OF.. DIABETIC FOOT.. DIBETIC ULCER..GANGRENE.. RX.. * GOOD GLYCIMIC CONTROLL WITH DIABETALOGISTS OPINION ..T/T.. * CLEANING DEBRIDEMENT AND DRESSING WITH ANTISEPTIC ANTIBIOTICS OINTMENT MUPIROCIN.. *ORALLY BROAD SPECTRUM ANTIBIOTICS WITH NSAID.. MULTIVITAMINS ANTIOXIDANTS & .. VITAMIN C..

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Diabetic wound with gangrene ,colour doplar of legs

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Good titre of insulin and timely debridement of dead tissue under a good cover of antibiotics

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diabetic foot

Diabetic ulcer with gangrene MRI FOOT WITH ARTERIOVENOUS DOPPLER NEEDED SEE EXTENSION AND DEPTH OF ULCER SURGICAL INTERVENTION

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??Diabetic bullae leading to non healing ulcer with necrolytic crusts

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Diabetic control Regular check ups of HbA1C Colour doppler ofthe legs Antibiotics Debridment of the wound and ASD

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