My Sister Peggy Has Had A Problem For 7 Years,been
 
                                    
                                    
                                                
                                                Wed, 15 May 2019
                                                
                                            
                                                Answered on
                                             
                                            
                                                
                                                
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                                            Require further evaluation and extensive active management.
Detailed Answer:
Hello,
I have gone through your query and reviewed attached images. Here is my advice.
As per your history and attached images, It may highly infected wound. It should get thoroughly evaluated to prevent complications like sepsis.
For further assessment, she may require wound discharge/ pus culture sensitivity, complete hemogram, computed tomography of affected part (to know about wound severity), peripheral smear and bone marrow examination after detailed medical examination and surgeon opinion.
As per my knowledge, she may require extensive intravenous antibiotic management as per culture report. Along with that do regular cleaning and dressing. Maintain proper hygiene. You may require tab. trypsin, chymotrypsin after consultation as it helps in healing.
In case of fever or pain, she can take tablet acetaminophen 500 mg every 8 hourly. Take balanced diet and keep her hydrated. Along with that, in future she may require skin grafting and flap surgery after plastic surgeon opinion.
Hope I have answered your query and let me know if I can assist you further....Thank you.
Regards,
Dr. Shyam Kale
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