I'd appreciate your thoughts on the attached rash
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86 year old, female with an approx 2yr history of this problem
Has diabetes and osteoarthritis, not the easiest client to get a history from.
Apparently started with a cut to the foot, was improved by rubbing "cream" into it, but obviously not cured.
Is sometimes itchy, and is present on both feet. Clinic notes do not reveal what the "cream was, and the client is a sporadic attendee to the clinic
On examination there are some small pustular looking lesions along with the broken,flaking skin.
I first saw her about 4 mnths ago and took a swab and scrapings.
swab came back with a moderate growth of staph aureus resistant to penicillin
no bacterium or white cells seen
culture and microscopy did not find any fungal alements present.
no diabetic neuropathy or peripheral vascular deficiet noted
GP has started her on doxycycline 100mg 1x a day for 7 days, recently.and referred her to dermatology.
Any input welcome.
thanks
Greg
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Leg swelling from wearing high heel shoes
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Leg swelling from wearing high heel shoes
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