APMLE Part III

Practice session

A 62-year-old diabetic with HbA1c 9.4% has a 3-week-old plantar 2nd metatarsal head ulcer (2 cm, full thickness, exposed tendon). Probe-to-bone is positive. WBC 12,500, ESR 92, CRP 8.5. X-ray shows cortical erosion of the 2nd metatarsal head. Next best step is:

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