dialysis patient, diabetic, presents with an ulcer which sme | Figure 1

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Emergency Medicine

Dialysis patient, diabetic, presents with an ulcer which smells foul, systemically well, vital signs within expected range, difficult mobility. If you are practicing in the UK, which team would you refer this patient to - out of hours - when tissue viability or diabetes specialist services are not accessible? Would you admit to Orthopaedics or Internists? I’m keen to know your local policy.

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