A 52-year-old receptionist presents with an ulcer on her ankle that has persisted for a year. The use of narcotic analgesics once or twice a day and elevation of the leg reduce the pain. She does not have a history of diabetes and does not smoke. Physical examination reveals an ulcer, approximately 5 cm in diameter, above the medial malleolus. The ulcer has a clean bed of granulation and is surrounded by hyperpigmented skin. Pedal pulses are easily palpable. How should she be evaluated and treated?
机构:
Tokyo Med Univ, Dept Cardiovasc Surg, Tokyo, Japan
Eniwa Midorino Clin, Dept Surg, Eniwa, Hokkaido, JapanTokyo Med Univ, Dept Cardiovasc Surg, Tokyo, Japan
Nishibe, Toshiya
Nishibe, Masayasu
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Eniwa Midorino Clin, Dept Surg, Eniwa, Hokkaido, JapanTokyo Med Univ, Dept Cardiovasc Surg, Tokyo, Japan
Nishibe, Masayasu
Suzuki, Shun
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Tokyo Med Univ, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med Univ, Dept Cardiovasc Surg, Tokyo, Japan
Suzuki, Shun
Takahashi, Satoshi
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Tokyo Med Univ, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med Univ, Dept Cardiovasc Surg, Tokyo, Japan
Takahashi, Satoshi
Toguchi, Kayo
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Tokyo Med Univ, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med Univ, Dept Cardiovasc Surg, Tokyo, Japan
Toguchi, Kayo
Kamiya, Kentaro
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Tokyo Med Univ, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med Univ, Dept Cardiovasc Surg, Tokyo, Japan
Kamiya, Kentaro
Iwahashi, Toru
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Tokyo Med Univ, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med Univ, Dept Cardiovasc Surg, Tokyo, Japan
Iwahashi, Toru
Ogino, Hitoshi
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Tokyo Med Univ, Dept Cardiovasc Surg, Tokyo, JapanTokyo Med Univ, Dept Cardiovasc Surg, Tokyo, Japan
机构:
China Japan Friendship Hosp, Dept Vasc Surg, Beijing 100029, Peoples R ChinaChina Japan Friendship Hosp, Dept Vasc Surg, Beijing 100029, Peoples R China
Lin, Fan
Zhang, Shiyi
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Shandong Univ, Shandong Prov Hosp, Dept Vasc Surg, Jinan, Shandong, Peoples R ChinaChina Japan Friendship Hosp, Dept Vasc Surg, Beijing 100029, Peoples R China
Zhang, Shiyi
Sun, Yan
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Shandong Univ, Shandong Prov Hosp, Dept Vasc Surg, Jinan, Shandong, Peoples R ChinaChina Japan Friendship Hosp, Dept Vasc Surg, Beijing 100029, Peoples R China
Sun, Yan
Ren, Shiyan
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China Japan Friendship Hosp, Dept Vasc Surg, Beijing 100029, Peoples R ChinaChina Japan Friendship Hosp, Dept Vasc Surg, Beijing 100029, Peoples R China
Ren, Shiyan
Liu, Peng
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China Japan Friendship Hosp, Dept Vasc Surg, Beijing 100029, Peoples R ChinaChina Japan Friendship Hosp, Dept Vasc Surg, Beijing 100029, Peoples R China
机构:
Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Oklu, Rahmi
Habito, Roy
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Habito, Roy
Mayr, Manuel
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Kings Coll London, Dept Cardiol, London WC2R 2LS, EnglandHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Mayr, Manuel
Deipolyi, Amy R.
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Deipolyi, Amy R.
Albadawi, Hassan
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Surg, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Albadawi, Hassan
Hesketh, Robin
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Univ Cambridge, Dept Biochem, Cambridge CB2 1QW, EnglandHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Hesketh, Robin
Walker, T. Gregory
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Walker, T. Gregory
Linskey, Katy R.
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Dept Pathol, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Linskey, Katy R.
Long, Chandler A.
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Surg, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Long, Chandler A.
Wicky, Stephan
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Wicky, Stephan
Stoughton, Julianne
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Surg, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA
Stoughton, Julianne
Watkins, Michael T.
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Harvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Surg, Boston, MA 02114 USAHarvard Univ, Sch Med, Massachusetts Gen Hosp, Div Vasc Imaging & Intervent, Boston, MA 02114 USA