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WCC

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Posted 12 months ago

 

I need help with a lower extremity wound that has me stumped. Lady is 67 healthy no big issues lil over wt. mild HTN. Some edema to lower extrem. had a shave biopsy done almost 2 months ago. Area will not heal. Had vasular checks all good found no valve probs. said 0 circulation problems. Area is 1.5 cm x 1.5 cm x 0.2 cm. Somebody please tell me wat im missing here!!!


 

Me_in_cocceticut_max50

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Rate This | Posted 12 months ago

 

What's wrong is the wound is not healing....Any Diabetes?  I'd be back at the Dr.s office  as many times as it takes to get this wound healed... Best of luck to you  and please keep us posted,, Teresa

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Rate This | Posted 12 months ago

 

I am the doctors wound care nurse. We do meet at office frequently. I just cant get this thing to close. I put unna boot on after ABI this morning.Hopefully will help!

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Rate This | Posted 12 months ago

 

No DM. No other health problems mild HTN. Some swelling bilateral lower extremities but had ultrasound then had full circulatory work up at imaging center shows good circulation with no valve problems. Labs good Protein,Albumin,Pre-Albumin good. Kidney function good. What am I missing? 

Me_in_cocceticut_max50

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Rate This | Posted 12 months ago

 

Gee, I don't know.. But if you don't mind, I'd like to consult with an associate of mind... Teresa

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Rate This | Posted 12 months ago

 

Sure any help would be great

Me_in_cocceticut_max50

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Rate This | Posted 12 months ago

 

Hiya, I haven't heard from my friend yet, but I know I will..I'll keep you posted.. Teresa


 

Me_in_cocceticut_max50

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Rate This | Posted 11 months ago

 

Hiya, I got a thought from a friend of mind, Has the wound been swabbed for MRSA?

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Rate This | Posted 11 months ago

 

Yes we have cultured for everything except fungus. What doyou think? Possible?  I have discussed with vascular surg., wound care doc, multiple wound specialists, even new nurses for fresh eyes and mind lol.I feel like I am failing this pt.


 

Me_in_cocceticut_max50

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Rate This | Posted 11 months ago

 

Why can't they test for a fungus? Just asking?

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Rate This | Posted 11 months ago

 

Doc. says not a fungus. So no test.


 

Me_in_cocceticut_max50

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Rate This | Posted 11 months ago

 

Ok, so how about a bit more history of this patient..There's information that we really could use from you.. Teresa