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Skin Pathology… easy recall I thought… 70-year-old man named Bob Marley has had an indolent, unhealing ulcer at the heel of the right foot for 6 weeks. The patient began wearing a new pair of shoes shortly before the ulcer started and noticed a blister as the first anomaly at the site where the ulcer eventually developed. He indicates that neither the blister nor the ulcer ever gave him any pain. The ulcer is 4 cm in diameter, the ulcer base looks dirty, and there is hardly any granulation tissue. The skin around the ulcer looks normal. The patient has no sensation to pin prick anywhere in that foot. Peripheral pulses are weak but palpable. He is quite obese. OK, here is a “giveaway”: He has varicose veins, high cholesterol, and poorly controlled type 2 diabetes mellitus. What is the pathology? 1-Ischemic ulcer 2-Diabetic ulcer w/ peripheral neuropathy 3-Stress ulcer 4-Stasis ulcer 5-Neoplastic ulcer

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Subject: Tommy's Concepts

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Skin Pathology… easy recall I thought…

70-year-old man named Bob Marley has had an indolent, unhealing ulcer at the heel of the right foot for 6 weeks. The patient began wearing a new pair of shoes shortly before the ulcer started and noticed a blister as the first anomaly at the site where the ulcer eventually developed. He indicates that neither the blister nor the ulcer ever gave him any pain. The ulcer is 4 cm in diameter, the ulcer base looks dirty, and there is hardly any granulation tissue. The skin around the ulcer looks normal. The patient has no sensation to pin prick anywhere in that foot. Peripheral pulses are weak but palpable. He is quite obese. OK, here is a “giveaway”: He has varicose veins, high cholesterol, and poorly controlled type 2 diabetes mellitus. What is the pathology?
1-Ischemic ulcer
2-Diabetic ulcer w/ peripheral neuropathy
3-Stress ulcer
4-Stasis ulcer
5-Neoplastic ulcer

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