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Calf and fore arm injury after an accident - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Bones, Muscles and Joints
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3397 Questions
User :   A week and a half ago I fell off my bike and suffered road rash on my inside left calf and left outer forearm.The forearm formed a really thick scab and has finally/mostly come off and healed. However, my calf which was bruised as well, is still scabbed, red/tender around the edges, and still oozing where it cracks from walking/flexing. It's orange/sticky and crystallizes when it dries like a scab.
Doctor :   Hi
Doctor :   dr here
User :   Hello
Doctor :   give me moment let me read you query
Doctor :   OK
Doctor :   Was an X ray taken
User :   no
Doctor :   Did you take any first aid
Doctor :   Any medications (antibiotics)
User :   Yes, I cleaned the wound, first using a bit of hydrogen peroxide, then used a bactine spray since. Used gauze intitally until it dried
Doctor :   *probably
Doctor :   Ok thats fine
Doctor :   Do you have any pus coming from the cracks
User :   yeah, but its kinda orange
Doctor :   Ok
Doctor :   then probably there is no infection just an blood clot
Doctor :   How will grade your tenderness from 1- 10
User :   the scab seems thin, when it gets wet, it goes soft and can move around over the wound. tenderness is low, I'd say a 2
User :   i can touch it with minimal discomfort
Doctor :   Ok
Doctor :   I would rather ask you continue dressing the wound with gauze for few more days till completly dry
Doctor :   And start on some antibiotics to avoid infection
Doctor :   Your age/ gender
User :   26, male
Doctor :   Are you a diabetic
User :   no
Doctor :   Since clots will heal within a weeks time most often
Doctor :   I am glad you have not developed infection
Doctor :   Did you meet your primary regarding this
User :   I haven't.
Doctor :   Is there anykind of sensation loss or numbness associated with the wound
User :   no
Doctor :   Then my advise is keep the wound clean
Doctor :   avoid movements involving the joint for a while
Doctor :   which favours early healing
User :   When the scab gets wet, it goes soft and leaks. It only hurts when I walk on it and it cracks or stretches the scab
Doctor :   Dont expose the wound to water till the scab dries
User :   it seems try to the touch except where it cracks
Doctor :   Yes in the process of healing first the platelets clot and form the scab
Doctor :   since the wound is big might take a while and probably you might also have itching
User :   how would I know if it got infected?
Doctor :   Which is a sign of healking
Doctor :   If there is puss signifies infection
Doctor :   Otherwise should get an culture done from the secretion
User :   ok, what i have is a semi-translucent orange goo that solidifies in the air
User :   dries into a scablike crust
Doctor :   Then its just the blood clot along with the plasma fibrins
User :   ok
Doctor :   The crust forms due to aggregation of platelets
Doctor :   And dont forget to get an Xray done also
User :   so far, nothing to worry about much then
User :   ok
Doctor :   But rather be safe , get an Xray done
User :   ok, thank you
Doctor :   And keep the wound ry
Doctor :   *dry
User :   Understood
Doctor :   Is there anything else i may help you?
User :   That will be fine thank you
Doctor :   Thanks for consulting me
User :   thank you for your help
Doctor :   wishing you speedy recovery
Doctor :   It was my pleasure
Doctor :   Bye for now
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