Submitted by M. Mark Melin, MD, FACS, RPVI, FACCWS, FAPWCA
58 year old female with a history of metastatic renal cell to lungs and right femur (successful prior surgical management 2 year prior) presents with a 3 month history of new right thigh wounds.
The most appropriate next step:
A. Apply amniotic graft
B. Levine culture and start oral antibiotics
C. Apply neomycin
D. Obtain Moh’s surgical consult
E. Biopsy wounds
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