Question

A 60-year-old Indigenous woman with poorly controlled diabetes and peripheral neuropathy presents with a plantar ulcer on her right foot of 4 weeks' duration. The ulcer is deep with exposed tendon, mild surrounding erythema, and reduced sensation. Which management plan is most appropriate?

Accepted Answer

Arrange offloading, systemic antibiotics targeting likely organisms, assessment for osteomyelitis, and multidisciplinary foot care

Answer

Reassure and advise to walk it off

Answer

Start topical antibiotics only and continue full weight-bearing

Answer

Schedule elective amputation immediately without further assessment

Answer

Prescribe opioids and no further intervention

Practice question

A 60-year-old Indigenous woman with poorly controlled diabetes and peripheral neuropathy presents with a plantar ulcer on her right foot of 4 weeks' duration. The ulcer is deep with exposed tendon, mild surrounding erythema, and reduced sensation. Which management plan is most appropriate?