36 yo, developmentally disabled. Wheelchair bound. Epilepsy. Tissue abscess. Possible abuse in care home. Heel photo and foot.
Hi all. I have heard and read a lot of controversy regarding Kennedy terminal ulcers that is is no longer a valid diagnosis. When a dti suddenly appears a day after admission and patient is on hospice...
Hi. If you have a softening of eschar that is loose and slough can be seen at wound edges and on the heel do you debride? No s/s of infection. Good pulses, previous IR done for arterial disease. Press...
Hi. This may sound silly, but what criteria is there to consider a wound infected? I often see one criteria met and iv ABT ordered, such as erythema no pruluence or fever but no signs of local infecti...
Hi. What is a general standard dressing/ surgical site care? Do you let the surgeon dictate what to use? Thanks
Several physicians in our group are wondering if we should be providing any prophylaxis when we put total contact casts on patients for treatment of DFU. Have you any information regarding this issue?
9/24/19 by
kim posten,
Not sure if anyone has used an infrared camera to detect possible pressure injury that cannot be seen yet. Any success with preventing hospital aquired pressure injuries? Thanks
At there alternatives to daily packing for infected abcess. Pt has severe pain with change?
Hi. When a patient has a dti to sacrum but there is a small area of epidermal skin loss, do you treat the open area? Or is just a foam dressing and offloading adequate? Thanks.
This patient has been on Silver alginate for 6 months with NO improvement. Cultures taken on 7/30/19 MRSA & Stenotrophomonas Maltophilia
Foul odor, white cheesy like substance over wound. Sm...
Interesting case for discussion, sending on behalf of a colleague - 50 yo male patient s/p surgical excision of large mass on neck. Wound vac applied after excision. Colleague is concerned about possi...
what does the FEV1 need to be to do HBOT
Is there still a 6 month waiting period prior to beginning HBO treatment for post radiation proctitis or enteritis? Whether there are external visible wounds or not?
Is a sigmoidoscopy or a colonosco...
Is the disposable NPWT- PICO safe to use with HBO if the battery pack is removed during treatment but the dressing is left on the patient? Patient has recently had transmetatarsal amputation and I be...
Does anyone have any sure fire tricks to heal recurrent pilonidal cysts? Specifically ones that have been previously excised and healed, now recurrent after months or even years and are culture negat...
Greetings-
The physician ordered the following:
POSTTRAUMATIC WOUND INFECTION, SUBSEQ
Note: sp shingles, worse with manipulation,
Plan: Mupirocin (BACTROBAN) 2 % Top Oint - Apply to affected area(...
We have a pt that we are changing 3M wraps and Xtrasorb dressings twice a week. Wife is telling us with in 24 hours it is leaking through and they are using plastic bags to keep carpet and shoes dry. ...
We have a pt that has had a colyectomy and has setons X 2 in his rectal area. Pt has constant drainage. His skin in the gluteal clave and rectal area is horrible. We have tried ABX, topical and oral ...
