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Stem 2: A 53 year old man with diabetes presents with a painful ulcer over his...

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Stem 2:

A 53 year old man with diabetes presents with a painful ulcer over his left medial malleolus.  He has reduced proprioception of his left great toe and absent ankle reflexes.  Peripheral pulses are diminished and the ankle-brachial index is 0.4.
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