Approach to foot pain Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 72-year-old man presents to the primary care office for evaluation of three weeks of worsening right foot pain. He has had a chronic, non-healing ulcer over his heel for four months, but it did not initially cause him pain due to having decreased sensation from diabetic neuropathy. Three weeks ago, he noticed redness and swelling around the area and pain deep within the foot. His past medical history includes poorly controlled insulin-dependent type II diabetes and hypertensionTemperature is 37.0°C (98.6°F), pulse is 82/min, respiratory rate is 18/min and blood pressure is 124/82 mmHg.  On examination, there is a stage 3 ulcer over the plantar surface of the right foot at the heel with surrounding erythema, warmth, and edema that extends to the ankle. In addition to laboratory studies, which of the following is the best next step in management? 

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