A 58-year-old man with long-standing type 2 diabetes and peripheral neuropathy presents with a painless plantar ulcer on the great toe, 2 cm in diamet...

Question

A 58-year-old man with long-standing type 2 diabetes and peripheral neuropathy presents with a painless plantar ulcer on the great toe, 2 cm in diameter, with surrounding erythema and warmth. Pedal pulses are present. What is the most appropriate initial management strategy?

Accepted Answer

Empiric oral antibiotics targeting gram-positive organisms and arrange urgent diabetic foot clinic assessment

Answer

Advise rest and dry dressings at home

Answer

Immediate below-knee amputation

Answer

Topical antibiotics only

Answer

Reassure and review in 4 weeks if no change

ca-mccqe1 MCQ (SBA): Infected diabetic foot ulcer

A 58-year-old man with long-standing type 2 diabetes and peripheral neuropathy presents with a painless plantar ulcer on the great toe, 2 cm in diameter, with surrounding erythema and warmth. Pedal pulses are present. What is the most appropriate initial management strategy?