A 55-year-old female patient with a 20-year history of diabetes noticed new bloody drainage on her sock that started 1 week ago. On exam you note a small, round, moist, pale red, full thickness wound to the plantar surface of the foot under the first metatarsal head. The wound is surrounded by a thick, hard, raised callus. Distal pulses are present. Patient denies pain to the site. This wound is most likely a description of a(n):

Question

Quizplus · Accepted Answer

The description of the wound, including its location on the plantar surface, the presence of callus, and the lack of pain, is characteristic of a neuropathic ulcer, commonly seen in diabetic patients due to peripheral neuropathy.

A 55-Year-Old Female Patient with a 20-Year History of Diabetes