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Share with your experience with non-removable cast, please.   Message List  
Reply | Forward Message #39 of 88 |
Re: Share with your experience with non-removable cast, please.

> Dear Oleg,

> If an ulcer B2 is not healing in a TCC I would check if infection is
not more severe e.g. osteomyelitis. Are you sure that the MRSA is
responsible for the infection? Did you just do a swab or a more
profound curetage to be sure that you get the real pathogen and not a
colonising germ?
Are you sure that the arterial supply is good enough?
If you are sure that it is just a B2 ulcer you can treat it either
with a TCC either with a removable cast (I can explain you my technic
if you want it is very easy).

Good luck,

Isabelle
>







Sun Oct 8, 2006 8:47 pm

doc_isabelle...
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Message #39 of 88 |
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Dear Colleagues, If somebody uses non-removable cast share please with your experience. I have a type 1 DM patient with neuropathic 2B (UT) ulcer (see file ...
Dr. Oleg Udovichenko
udoviche
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Oct 7, 2006
2:25 pm

... experienced in putting on casts or do you have a good orthopedic surgeon in your team? If yes, then please go on using TCC, but remove the first cast...
Dr. Oleg Udovichenko
udoviche
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Oct 8, 2006
6:47 pm

... not more severe e.g. osteomyelitis. Are you sure that the MRSA is responsible for the infection? Did you just do a swab or a more profound curetage to be...
Dr Isabelle DUMONT
doc_isabelle...
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Oct 8, 2006
8:49 pm

Dear Isabelle, Thank you for your reply! We excluded ischemia (good pulses) and osteomyelitis (negative probe to bone, no bone involvement on X-ray). ...
Dr. Oleg Udovichenko
udoviche
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Oct 9, 2006
6:38 pm

Dear Oleg In your case to minimise the Messaration and exudation you can make a window on TCC over the wound and frequently change the dressing and you will...
jrwadud
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Oct 26, 2006
9:22 pm

Dear Jawadur (Dr. Wadud), Thank you for your comments (sorry for delayed reply). Last X-ray (in Septebmer) didn't reveal osteomyelitis, but I plan to repeat it...
Dr. Oleg Udovichenko
udoviche
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Nov 2, 2006
6:02 am
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