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Cellulitis infection
This is wound after three days of debridement of a diabetic patient 69 years old. will it heal or how many days it takes to heal.What treatment should be given.
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Wound: base: necrotic,slough , margins looking ischaemic.
1st: debride thoroughly all yellow tissues, send tissue/swab for c/s
2nd: leave wound with some oxidized h2o2 spray/oxum spray for 3 to 5 min
3rd: clear all slough again after 5 min
4th :apply oint codoxamer iodine/ Cadomer/debrifree into the wound
5th cover with sterile gauze.
Continue this dressing once daily after regular bath with soap water till base is filled with granulation
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blood: cbc,fbs,ppbs, Hba1c
us colour doppler bilateral lower limb (A+v)
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visit a general surgeon for follow up
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Wound shows slough. Needs further investigation before debridement
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Check vascularity. Wound culture for specific antibiotics
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Consider refering the patient to a qualified modern medicine surgeon.
As the image has the name Dr. Avi D i assume it is a doctor who is asking the question but if you are a patient please visit a surgeon.
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It needs a consultation for taking the bad part off.consult a surgeon immediately
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hba1c,fbs,ppbs
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Dr. Ajeet Shukla
General Surgeon
1 yrs exp
Coimbatore
Needed further debridment and side by side all investigation and wound c/s
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.