Currently treating a cancer patient who smokes marijuana for pain control. We coached him not to smoke prior to treatments but I'm having trouble finding any studies or recommendations regarding safe...
We have been seeing this patient off and on for at least 3 years, she has a non-surgical fistula, mess is seen. She has been seen at Mayo and here in Newton and no surgical option has been given. At t...
What is the official definition of a diabetic foot ulcer? Is any wound on the foot of a diabetic considered a diabetic foot ulcer. I have a patient with diabetes and paraplegia with a pressure ulcer...
Question about wound I have been trying to manage:
Allergies: The patient is allergic to penicillin and sulfa drugs.
Past Medical History: Anoxic brain damage, chronic respiratory failure with...
I was wondering how long you recommend a patient take a break from HBOT after an adverse reaction. For example, if they had an oxygen toxicity seizure, but no lasting effects, when would you resume tr...
I have a patient who has confirmed venous insufficiency and GSV reflux, with normal ABIs, who has been unable to undergo surgery due to recurrent pseudomonas pneumonia and COPD exacerbations. He requi...
General question: In working with our Patient Relations Staff in the Quality Department, they have posed questions regarding how a wound is determined to be clustered. I seem to remember reviewing the...
Is NPWT contraindicated in a wound bed where osteomyelitis has been confirmed? I was thinking yes but wanted to confirm. Specifically this is for a stage 4 large sacral wound.
Is NPWT contraindicated in a wound bed where osteomyelitis has been confirmed? I was thinking yes but wanted to confirm. Specifically this is for a stage 4 large sacral wound.
Pt has had multiple ulcers over 20 years that have closed with minimal wound care. This time the wound has been open for 2 years when he presents to us. ABX and now a wound vac have been employed and ...
20 yo female has had a wound since 2019. Original injury was a laceration that developed into necrotizing fasciitis. CRP still elevated at 50. How long does the CRP remain elevated in a noncomplica...
Has anyone used Actigraft? Would you share your experience?
I have a 28 yo male patient with Cutaneous Crohn's Disease and Rheumatoid Arthritis, both diagnosed when he was 8 years old. Patient is currently taking Taltz for his autoimmune disease. Patient state...
Have been treating this wound for approx 1 year. Pt is Diabetic last A1c 5.6, PAD, Kidney disease, has history of multiple amputations with infections, including LLE BKA several years ago. Pt has seve...
40 y/o F, no PMHx. Scalding water burn x4 wks ago. PCP placed on Amoxicillin and mupirocin. Was improving, then started blistering and worsening redness at 3 weeks. Started on Cipro, SSD with foam dre...
The Zero-G Offloading device (Prefabricated AFO with Ankle Joint) suggests using the HCPCS codes L1971, L2220 X2, L2265 when ordering. Can you tell me exactly what the three different codes are for?
I have a resident in a SNF that had a Stage 3 pressure ulcer on his hip- had been improving for months with the use of collagen and then began to deteriorate recently. Started noticing increased bleed...
I am working on my DNP project and studying the percentage of patients having ABI done on first visit. One barrier is due to compliance, the MD's prefer to do US instead. Any resources the you know of...
History of present illness:
51 year old female who was seen at SLJ ER on 7/21/2020 with a 3 wk history of decreased appetite and generalized weakness and malaise. She had had prior colonoscopy and en...
