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?