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case_images: On day 1, at 21:00, nurse identified a region of the patient's right hand, proximal to the injection site, (a) exhibiting erythema along the venous pathway, (b) measuring approximately 9cm x 1 cm.
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case_images: An hourly examination by the nursing staff at 21:00 identified a region of the patient's right hand, proximal to the injection site, exhibiting erythema along the venous pathway, measuring approximately 9cm x 1 cm (Figure 1).
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case_images: On day 13, a lesion measuring 2 cm by 1 cm surfaced at the location of the venous catheter insertion on the dorsal aspect of the patient's hand, with purulent discharge noted from the ulcerated site.
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case_images: Additionally, purulent exudate was observed emanating from the ulcer, as depicted in Figure 2.
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case_images: On day 27, a discernable ulceration, approximately 3 cm by 1 cm in dimension, manifested at the peripheral venous catheter insertion site on the patient's dorsal hand surface, exposing subjacent necrotic vasculature.
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case_images: Upon observation, an ulceration, approximately 3 cm by 1 cm in size, was noted over the peripheral venous catheter insertion site on the dorsum of the patient's hand, revealing underlying necrotic vessels (Figure 3).
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case_images: On day 28, (a) initial cleansing with saline, (b) ligation, and (c) excision of necrotic vessels, (d) subsequent sterilization employing isotonic saline and a povidone-iodine solution, (e) implementation of a drainage system and an alginate dressing, and (f) final envelopment with gauze and an elastic bandage.
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case_images: As depicted in Figure 4, on day 28, an intricate procedure of wound debridement was executed.
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case_images: The respective statuses of the patient's wound recuperation on (a) day 34, (b) day 38, (c) day 43, and (d) day 48.
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case_images: Figure 5 elucidates the progression of cutaneous wound restitution occurring on the dorsal aspect of the patient's right hand.
case_images: Patient's medical progression timeline.
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case_images: Figure 6 illustrates the timeline of all medical diagnoses and treatments for the patient's phlebitis and skin necrosis.
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