Approach to non-healing wounds 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 55-year-old woman presents to the emergency department from a rehabilitation facility for evaluation of a wound on her left heel. She was hospitalized and received IV antibiotics for the same issue three weeks ago. Her symptoms resolved and she was discharged to rehab. However, she was brought back to the ED today because the wound care nurse felt that her left heel was re-infected. She has not had fevers or chills. She takes insulin for IDDM and rivaroxaban for atrial fibrillation. Temperature is 37.0 °C (98.6 °F), pulse is 115/min and irregular, blood pressure is 110/72 mmHg, and SpO2 is 100% on room air. Labs are pending. Physical exam is notable for a pressure ulcer on her left heel that has subcutaneous fat present and tunnels 3 cm in all directions. There is surrounding erythema and induration but no purulence. What is the stage of this ulcer, and what is the most appropriate treatment?  

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