Painless Plantar Ulcer On in Medicine / Internal Medicine — 58yo Man | Endocrinology | SMLE Q#17097

SMLE Question #17097

Medicine / Internal Medicine Endocrinology

Objective: OBJ-ADDISON-DOSE-1

Last updated: February 2026
A 58-year-old man with poorly controlled type 2 diabetes mellitus presents with a painless plantar ulcer on the right foot for 3 weeks. He reports chronic numbness and tingling in both feet. Examination shows a well-demarcated ulcer with granulation tissue and palpable dorsalis pedis and posterior tibial pulses, without erythema or purulence. To confirm the primary underlying cause of this ulcer at the bedside, which test is most critical to perform?

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