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...
Hello, Is it ever appropriate to classify a wound as " diabetic ulcer" if on the upper limb? I was under the impression that diabetic ulcers are the foot? Thank you
This friction and shear ulcer is not responding to any treatment, any suggestions? I have been using allograft injections which is helping but patient is not very compliant when it comes to cleaning a...
Pt has been using antifungal. He said he had an antifungal allergy so we've tested it in spots before with no issues. This visit he shows up with this rash looking stuff but the rash is not everywhere...
I have a stubborn wound that I can't get to heal. Patient wih 30 year h/o lipodermatosclerosis now with penetrating osteoma cutis. Always probes to bone - I can't get it covered after trying 6 months....
Currently, the procedure codes for the different offloading devices are as follows:
- Orthotic and Prosthetic Procedures, Devices - Walking boots (L4360, L4361, L4386, L4387, L4631) are covered for ...
Hi. What would be an effective TX for fungal infection of the pannus with a partial thickness open area 2.5cmx1cmx0.1cm. I do not have access to interdry. For now i requested nystatin and placed skin....
Patient completed course of hyperbarics to heal ulcer in right foot. Patient was subsequently diagnosed with osteomyelitis in same foot and returned to be treated. Does the treatment number "1 of #" s...
6/25/20 by
Mitch Hall,
Hello, I am not sure if any of you have noticed an increase in DTI on covid patients even with interventions. There is a white by NPIAP regarding the differential between covid skin manifestations and...
72-year old female history spina bifida, has been wheelchair-bound for last 10 years. Has long-term colostomy and had suprapubic urinary cath placed about a year ago but still leaking urine from uret...
This wound is stalled. It is being debrided but my concern is not debrided agressively enough. How far back should this be taken each time? What should be done with wound bed in this case?
5/11/20 by
Mitch Hall,
Patient had silicone injections directly into the penis about 20 years ago. No other pertinent medical history. I've tried mult types of dressings, wound gels, collagen, Santyl, but nothing heals this...
During this COVID crisis and the need to use Telehealth, will payment be allowed for both the home health agency as well as the provider if both services provided on the same day?
Also, with telehe...
Hello team! Posting on behalf of a colleague. Colleague would like to know our thoughts regarding the etiology of the ulcer and if ok to proceed with surgical debridement.
47 y/o male with hx panc...
DOES HB COVERAGE PLUS KILL COVID 19?
here in CA we have closed schools and are doing screenings the entrances to hospital and ER. We are also screening at the outpatient clinic. We are trying to do our part in social distancing and have ...
Does a patient who had PBI catheter radiation therapy for breast cancer more than 6 months ago and now has nonhealing wound at the site of catheter placement qualify for HBO therapy? I am not clear o...
Recent abdominal wall debridement for infected seroma. Ventrio mesh placed approximately two months ago for large incisional hernia. . Intact and does not appear infected. 13 cm X 7 cm open wound to ...
