Question

A 52-year-old man with poorly controlled type 2 diabetes and a long-standing foot ulcer presents to a remote clinic with worsening pain, erythema extending up the leg and systemic symptoms. There is no onsite imaging. Which is the most appropriate management?

Accepted Answer

Arrange immediate retrieval to the nearest hospital for intravenous antibiotics and possible surgical debridement

Answer

Start oral antibiotics and review in 3 days

Answer

Dress the wound and continue usual care

Answer

Prescribe topical antibiotics only

Answer

Advise rest and elevation without antibiotics

Practice question

A 52-year-old man with poorly controlled type 2 diabetes and a long-standing foot ulcer presents to a remote clinic with worsening pain, erythema extending up the leg and systemic symptoms. There is no onsite imaging. Which is the most appropriate management?