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Review Question - QID 211561

Necrotizing Fasciitis Treatment Operative QID: 211561 (SBQ18FA.42)
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QID 211561 (Type "211561" in App Search)
A 47-year-old male diabetic has developed a calcaneal ulcer, as shown in figure A, that has been managed with wound care and a total contact cast. He presents to the emergency department with worsening erythema progressing up his leg with new draining wounds. On admission, despite antibiotics and intravenous fluids, he develops worsening pain and new bullae shown in Figure B. His laboratory studies indicate CRP >200, WBC 25k, Sodium 127, glucose 233, and hemoglobin 12. What is the best next step in the management of his condition?
  • A
  • B
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  • A
  • B