Wound: base: necrotic,slough , margins looking ischaemic.
1st: debride thoroughly all yellow tissues, send tissue/swab for c/s
2nd: leave wound with some oxidized h2o2 spray/oxum spray for 3 to 5 min
3rd: clear all slough again after 5 min
4th :apply oint codoxamer iodine/ Cadomer/debrifree into the wound
5th cover with sterile gauze.
Continue this dressing once daily after regular bath with soap water till base is filled with granulation
Next Steps
blood: cbc,fbs,ppbs,
Hba1c
us colour doppler bilateral lower limb (A+v)
Health Tips
visit a general surgeon for follow up