Determining the Cause

Chief Complaint: Bleeding, Gums

a. History: “tea-and-toast” diet for the past 4 months

Pivotal Assessment Findings
History      
Physical Exam Perifollicular hyperkeratotic papules, each surrounded by a hemorrhagic halo, are scattered over the lower extremities, and each papule surrounds a twisted, corkscrew-like hair    

 

Making the Diagnosis and Management_Geriatric

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