09-16-2006, 08:50 PM
previously healthy 58-y-F comes for evaluation of two deep ulcers on her right thigh. The lesions started as painful nodules approximately three weeks ago, the ulcers were surgically debrided, but now they have doubled in size. hysical exam show two 7 to 8 cm ulcers on teh lateral aspect of the right thigh just above the knee. The ulcers are reddish and necrotic with irregular, elevated purplish borders. No edema or discoloration of the lower legs.
1. which of the following disorder is the patient most likely to have:
a) dermatomyositis
b) DM
c) Syphilis
d) Ulcerative Colits
e) Venous insufficiency
2. which of the following is the most appropriate next step in treatment
a) continued surgical debridement
b) hyperbaric O2 therapy
c) silver nitrate cautery
d) systemic glucocorticoid therapy
e) topical antibiotic therapy
1. which of the following disorder is the patient most likely to have:
a) dermatomyositis
b) DM
c) Syphilis
d) Ulcerative Colits
e) Venous insufficiency
2. which of the following is the most appropriate next step in treatment
a) continued surgical debridement
b) hyperbaric O2 therapy
c) silver nitrate cautery
d) systemic glucocorticoid therapy
e) topical antibiotic therapy