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Large scrape and massive bruising in shin after fall, sever swelling in ankle and foot. Signs of infection ?

My husband had a 16 4x6 fall and hit him in his shin leaving a large scrape and massive bruising in that area. It s been 4 days and the bruising and swelling is pretty severe on his ankle and foot . I ve been treating the abrasion with saline wash and peroxide and keeping it covered with a surgical pad that we change out daily. I am concerned that he needs to see a doctor and could be in danger of infection or blood clot formation. Should he see a doctor?
Asked On : Mon, 12 Nov 2012
Answers:  2 Views:  796
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM
You have mentioned that the injury on the shin has left an abration and bruising,
You definetly need to visit your doctor.
The wound care that you are doing is fine but oral antibiotics and pain killers also need to be administered.
There is a good chance of infection as the wound size is large and there is abration of the skin.
Besides medication, examination of wound is important as there may be dead skin in the wound which requires debridement or removal of dead skin.
Bruising that you are seeing in the wound is due to bleeding into the tissue.

So, without wasting much time, do see your doctor.

Thanks and take care
Dr Shailja P Wahal

Answered: Mon, 12 Nov 2012
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General & Family Physician Dr. Aniruddha Panja's  Response
Thanks for your query.
Yes he should get a check up from an orthopedic surgeon.
Is he having problem in moving the leg or walking around ?
There might be crack in bone , so don't neglect . X ray might be needed.
For pain use analgesic tablets like aceclofenac+paracetamol combination.
Serratiopeptidase tablets will reduce the swelling.
keep the wound clean and don't let it get infected... providone Iodine lotion will help.

Hope this helps.
Update here how he stays.
Take care.

Disclaimer: The Expert’s advice is provided for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, as a complete assessment of an individual has not taken place.Please consult your nearest physician before acting on it. The advice is not valid for medico-legal purposes also

Answered: Mon, 12 Nov 2012
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