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Previous Topic | Next Topic  8. 44-year old woman with ulcer 




 
Kaplan Qbank USMLE



Author4 Posts
  #1

8. A 44 y/o woman has an indolent, unhealing ulcer above her right medial malleolus. The ulcer bed has clean granulation tissue, and for several inches in all directions, the skin surrounding th eulcer is thick, chronically edematous, and hyperpigmented. The abnormalities have been present for several years, and she has had frequent bouts of cellulitis. Which of the following physical findings would be most likely also be present in this patient?

A. Absent arterial pulses
B. Chronic draining sinuses
C. Heaped up tissue growth at teh ulcer's edge
D. Peripheral neuropathy
E. Varicose Veins




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Our greatest glory is not in never falling, but in rising every time we fall.

  #2

What does this patient have?
Can we compare choice D and E Please....


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Our greatest glory is not in never falling, but in rising every time we fall.

  #3

Right Answer is E... Can anyone give a brief explanation?

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Our greatest glory is not in never falling, but in rising every time we fall.

  #4

E...because its is a venous insuffiency ulcer.Peripheral neuropathy would be found in a diabetic patient who will have ulcers at the pressure points like tip of toe etc...thats my take on it.







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