Page 1 of 1: here's a case.....diabetic foot ulcer.

docvin · Credits: 1662 My Scrapbook

a patient aged 52yrs, was diagnosed of having diabetes mellitus a year bk...and blood sugar level was very high. so he was on insulin....so he developed a small ulcer on his foot. he got it debrided and had dressing.and he was on antibiotics. later on the ulcer increased in size....so he got a thorough debridement again and was getting the wound dressed everyday.
but the infection went on increasing and the bone got involved after 5-6 months. his sugar levels r slightly above than the normal.
then he was diagnosed of having osteomyelitis...and he had to go for a sequestrectomy. but now there's joint involvement...the infection is not subsiding inspite of the treatment....

what do u advice for? is amputation necessary?

the patient is suffering from the ulcer since more than one year.

dr4jc · Credits: 4396 My Scrapbook

What antibiotics are being given? probably the pus has to be sent for culture and sensitivity and appropriate antibiotics should be administered....blood sugar should ofcourse be strictly controlled... depending on the level of joint involvement the level of amputation should be considered...but before doing an amputation vascular surgical opinion and orthopedic opinions should be asked for..

rajponn · Credits: 4434 My Scrapbook

basic is you should look for mainrtaining normal blood sugar level with woond toilet and appropriate antibiotics. hoping that you have tried good number of antibiotics.

aputation is my choice .few inches above the joint involved.

drshoaibsmc · Credits: 3066 My Scrapbook

well everyone knows that in diabetes there is delayed healing hence we must maintain blood glucose levels and treat the ulcer aggresively if it is due to infection , it can also be a venous ulcer

Correct me if I m Wrong

adeltaher · Credits: 126 My Scrapbook

The ulcer has been increasing in size and developed into a deeper infection(osteomyelitis) with sequestrum formation; the latter is dead bone and forms a focus of infection deep in the foot, as the infection is chronic and has been spreading surgery is required; initillay one can attempt curretage and debridement with strong antibiotics which can then be adjusted based on the Microbiology , if the infection is not controlled then limited amputation has to be considerd.

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