Question

A 60-year-old man with type 2 diabetes develops a plantar foot ulcer under the first metatarsal head. The ulcer is 1.5 cm in diameter, probes to bone, and is surrounded by erythema and warmth. He has peripheral neuropathy and diminished distal pulses. According to Diabetes Canada foot care guidance, what is the most appropriate next step?

Accepted Answer

Order plain radiographs and start systemic antibiotics, and refer urgently to a multidisciplinary foot care team

Answer

Treat with topical antibiotics only and review in 2 weeks

Answer

Reassure and advise rest only

Answer

Debride at home using sharp instruments

Answer

Start high-dose steroids to reduce inflammation

Practice question