2 Days Of Rapidly in Surgery — 58yo Man | General Surgery | SMLE Q#17449
SMLE Question #17449
Surgery
General Surgery
Objective: OBJ-TRACH-EMERG-01
Last updated: February 2026
A 58-year-old man with type 2 diabetes mellitus presents with 2 days of rapidly worsening right lower-leg pain and swelling. He reports fever and severe pain out of proportion to the skin findings. Examination shows an erythematous, very tender area with skin discoloration and a palpable fluctuance over the anterior shin; crepitus is uncertain. What is the most appropriate immediate management step?
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