Question

A 45 year old man with poorly controlled diabetes presents with a plantar foot ulcer of 3 weeks duration. The ulcer is 2 cm in diameter with surrounding erythema and warmth; he can walk but has some pain. There is no systemic toxicity. What is the most appropriate initial management?

Accepted Answer

Start appropriate oral antibiotics, optimise offloading and arrange close wound care and foot protection

Answer

Advise topical antiseptic only and allow to air dry

Answer

Admit to ICU for immediate amputation

Answer

No treatment is required until systemic features develop

Answer

Prescribe long term systemic steroids for inflammation

Practice question

A 45 year old man with poorly controlled diabetes presents with a plantar foot ulcer of 3 weeks duration. The ulcer is 2 cm in diameter with surrounding erythema and warmth; he can walk but has some pain. There is no systemic toxicity. What is the most appropriate initial management?