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Theme: Leg Ulcers   For each patient with a leg ulcer, select the most likel...

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Theme: Leg Ulcers

 

For each patient with a leg ulcer, select the most likely diagnosis.

 

Stem 1:

A 70 year old woman presents with an enlarging ulcer over the anterior aspect of the lower third of her right leg.  There is a hard nodule at one edge, with surrounding pigmentation and fibrosis.  The ulcer has not healed despite 12 months of bed rest and leg elevation.

 
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