This week’s Modern Vascular featured case comes from Jessica Brown FNP-C, CWC, Nurse Practitioner at Modern Vascular in Southaven.
Featured Case Overview
This particular patient was originally seen on 6/7/21 for Covid related wounds. She is a 72 y/o female who first noticed the ulcerations on 5/14/21 after they began as “bruises that oozed”. She was diagnosed with Covid 19 two weeks prior.
Her history is HTN, HLD, Depression, PAD, and Covid. She went to both the ER and urgent care who stated the ulcers were due to Covid and destruction of the tissues. She was started on Keflex PO and mupirocin to the wounds on 6/4/21. Wounds on arrival were necrotic and malodorous.
Cultures were also obtained on the first visit. Sharp debridement was performed weekly for the first 4 -6 weeks. She was started on Bactrim DS on 6/9/21 and wounds were dressed with silver alginate (decrease bacterial load) and legs wrapped with an ACE bandage. On 6/17/21 wounds were then dressed with triad hydrophilic paste (facilitate autolytic debridement) and xeroform. By 7/20/21 the Left anterior leg was healed. The remaining wounds were healed by 9/8/21.
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