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Query about surgery
My FATHER had CKD, DM2, hypertension.also there is slow blood supply in both lower limbs. Now , a non healing ulcer with pus is seen at right toe in right leg. Is peripheral angiography is necessary for toe surgery? Can surgery be done without angiogram? He has been suffering from this since Jan 2025. And ulcer getting worse day by day. Please advise.
Answers (4)
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Hi,
So need to know some more detailed history, it looks like the history that your giving is that wound has got infected so some things would be needed
Next Steps
1) adequate glycemic control
2) Will need physical examination of wound
3) xray to rule out osteomyelitis and wet gangrene picture
4) will need surgical management
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It is called diabetic foot. Needs further necessary investigations prior to surgery.
Next Steps
Visit diabetic foot surgeon
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It is difficult to answer it without proper history, examination and patient's condition. We don't know the condition of ulcer, what surgery is planned. Since your father is also having CKD, we need kidney function test before contrast CT.
To know all of these things one on one session is needed.
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Dr. Mohammed Rehan Khan
General Physician
13 yrs exp
Bangalore
Need clinical image
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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.