A patient is referred to wound clinic with a lower extremity…

A patient is referred to wound clinic with a lower extremity wound with well demarcated, undermined, and angry purple edges.  In addition, the patient has pronounced pain. You suspect that this patient likely has pyoderma gangrenosum.  Which of the following treatment interventions are contraindicated? 

A patient presents to you in the outpatient wound clinic wit…

A patient presents to you in the outpatient wound clinic with a wound on the dorsal aspect of the right 3rd MTP.  The wound appears to be dry and necrotic, has minimal drainage.  The patient has moderate edema in the foot and ankle.  You cannot palpate pedal pulses.  Which of the following items would be MOST important to complete this session?

Your patient is a 55 year old with h/o rheumatoid arthritis…

Your patient is a 55 year old with h/o rheumatoid arthritis .  He presents with a lateral forearm wound sustained while gardening one week ago.  The wound measures 1.0 x 0.5 with a 2 cm area of surrounding erythema.  The wound is 50% granular and 50% slough.  While probing, you find a 3.1 cm tunnel at the 12:00 The periwound area is indurated, warm to touch, and painful to palpation. When would you tell you patient to see further care for infection?