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Doctor insights on: Decubitus Ulcer Wound Care

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What is the best wound care for a necrotic diabetic foot ulcer?

What is the best wound care for a necrotic diabetic foot ulcer?

Team approach: Depends on what is meant by necrotic. Is there blood flow to the extremity or wound? If not, a vascular or interventional cardiologist need to increase the blood flow to the extremity. A podiatrist is needed to get any bony prominence resected and to offlaod the wound. An endocrinologist is needed to get the diabetes under control if out of control. ...Read more

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Dr. M. Hytham Beck
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Decubitus (Definition)

A decubitus ulcer is a pressure sore, caused by unrelieved pressure-induced ischemic tissue death. Decubiti are most commonly seen in areas of chronic pressure (heels, buttocks, thighs, and even the back of the head) in patients who are immobilized without being turned and repositioned. These are commonly elderly, comatose, or paralyzed individuals who cannot offload ...Read more


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Can diabetic foot ulcers heal?

Can diabetic foot ulcers heal?

Yes: If cause of ulcer is properly addressed and there is adequate circulation, absence of infection, adequate health/nutrition as well as proper offloading /eliminating excessive pressure on area. ...Read more

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Will antibiotics help leg ulcers or wounds to heal?

Will antibiotics help leg ulcers or wounds to heal?

Antibiotics: Antibiotucs will only help leg ulcers of the bacteria are preventing the healing process. Leg ulcers occur from poor blood supply or poor venous flow. Seeing a vascular or cardiovascular surgeon or a vein specialist might help. ...Read more

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Could cleaning your wound make the wound heal quicker?

Could cleaning your wound make the wound heal quicker?

Basic Care: The real question is what not to do that slows down healing. Avoid using alcohol, peroxide, hibiclens, betadine, and bleach solutions. Inflammation ( red, hot, swollen, tender) is important to healing so anti-inflammatories (motrin, advil) are bad. Cover the area with a clean dressing changed every other day and protected from trauma. Antibiotics do not help healing unless it is truly infected. ...Read more

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Can alcholol delay healing in pilonidal wound healing?

Can alcholol delay healing in pilonidal wound healing?

Possibly: Large amounts of alcohol can cause nutritional deficiencies or cause liver failure which both can affect normal wound healing. ...Read more

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Are black edges on venous ulcer serious?

Are black edges on venous ulcer serious?

Black ulcer: The black area is dead skin. This is not particularly common in a venous stasis ulcer, especially if it has clean. Other things to consider are diabetes, arterial inflow disease, autoimmune disorders, and calciphylaxis in a dialysis patient. ...Read more

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Could coloplast sheets for wound care really heal?

Could coloplast sheets for wound care really heal?

Yes: Yes because it can provide for a moist wound environment and protect the wound from desiccation and trauma. ...Read more

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Infection on an open wound. Staph?

Infection on an open wound. Staph?

Have to culture: An infection arises when bacteria (most often) or fungus overwhelm the body's ability to control it. An open wound is not always infected but can be holding bacteria (colonized). The organism is identified through deep culture of the wound ...Read more

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What generally prevents diabetic ulcers from healing?

What generally prevents diabetic ulcers from healing?

Many factors: The most common reason ulcers may have trouble healing: due to uncontrolled blood glucose levels, underlying infection, poor circulation, poor nutrition, too much pressure to the area, inappropriate wound care. ...Read more

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ICD 9 code for a dehisced surgical wound which is also a diabetic wound?

ICD 9 code for a dehisced surgical wound which is also a diabetic wound?

Depends: 998.xx for wound dehiscence depending on depth with an additional diagnosis code for type of diabetes and whether it is controlled ...Read more

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Can kidney failure prevent a surgical wound from healing?

Can kidney failure prevent a surgical wound from healing?

Wound : What is the site of your wound and what is your kidney function. There is limited data on wound healing and CKD. I would look for other reasons for delayed wound healing. ...Read more

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Can triple action heal vaginal wound?

Healing: Your body will actually heal the wound. Triple antibiotic will help the healing process and help prevent infection. Vaginal wounds heal well as there is such a good blood supply. If this is just a small tear then this would be fine. If there is a large wound it should be evaluated by your physician. ...Read more

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What are the primary dressings and secondary dressings in wound care?

What are the primary dressings and secondary dressings in wound care?

Dressings: Primary is what is on the wound directly; secondary is what is on top of the primary dressing. ...Read more

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Mum 64 using compression for vascular ulcer. Ulcer tends to bleed as wound dressing is removed as it gets stuck to the ulcer due to compression. Help!

Mum 64 using compression for vascular ulcer. Ulcer tends to bleed as wound dressing is removed as it gets stuck to the ulcer due to compression. Help!

Wet to dry: I often teach my patients that they should cover the ulcer with a saline soaked bandage or gauze and then a dry gauze...A concept known as 'wet to dry' so that the dry gauze does not further damage the skin when it is changed. ...Read more

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Can a diabetic ulcer heal by itself?

Can a diabetic ulcer heal by itself?

Yes: As long as there is enough blood flow (circulation) and the wound is protected and taken care of and there is no underlying infection of the surrounding bones, the chances of healing the ulcer are fairly good. Often the blood flow has to be improved, antibiotics are administered and protective footwear is worn. ...Read more

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Can granulation occur in primary intention wound healing?

Can granulation occur in primary intention wound healing?

Wound healing: Granulation tissue occurs in all wounds. In primary wound healing it is not exposed to the outside as it in secondary wound healing. ...Read more

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How can ulceloocin mouth ulcer patch effectively repair the wound?

How can ulceloocin mouth ulcer patch effectively repair the wound?

It doesn't: It just acts as a temporary covering in the same manner a band-aid would. ...Read more

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Can a puncture wound in your mouth heal?

Natural Healing: The good news is that area has fantastic blood supply and so healing will occur rapidly. Inflammation (red, hot, tender swelling) is the body increasing the blood flow to the injury to bring healing factors to the area and also the veins expand to carry bad stuff away. Dressings and ointments are of no value there. Avoid further trauma to the area and let nature take it's course. ...Read more

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Endocartitus staph infection 5 debridements flap surgery what precautions to take to heal?

Endocartitus staph infection 5 debridements flap surgery what precautions to take to heal?

More information: Sorry to hear about that, but if you can give us more information, you will get a more intelligent answer. ...Read more

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Ulceration (Definition)

Exact synonym so far as this pathologist is concerned. An ulcer is a lesion on a body surface (outer or inner) in which the epithelium and at least some of the underlying connective tissue has been lost specifically to necrosis (cell death) rather than just mechanical or chemical injury. All ulcer craters ...Read more


Dr. Heidi Fowler
477 doctors shared insights

Wound Care (Definition)

Wound care is steps taken to ensure that a wound heals correctly. Steps may include dressing changes, application of topical antibiotics or ointments, proper offloading, infection control, and professional wound debridement when indicated. See your physician and have them advise you on treatment ...Read more