31st January 2024

A 78-year-old man presents to A&E 2 days after having had a fall whilst in the garden.

A 78-year-old man presents to A&E 2 days after having had a fall whilst in the garden. His family are concerned that he is acutely confused and unwell with reduced oral intake and fever. He was limping after the fall but did not seek medical attention. Examination shows a vertical scar overlying the affected knee from previous knee replacement and an overlying graze with purulent discharge.

How should this patient be managed?

Select the SINGLE most appropriate option from the list below. Select ONE option only.