Case 7 - Question 4 4. Based on the history and physical exam, which of the following is the MOST cause of Mr. Ali’s leg ulcers and why? A. Arterial insufficiency – supported by his vascular risk factors and presence of strong pulses. B. Venous insufficiency – supported by presence of obesity and HPI (telangiectasias, edema, hyperpigmentation from hemosiderin deposition, and atrophe blanche). C. Pyoderma gangrenosum – supported by the progressive, slow onset of the ulcers and pain. D. Neuropathy – supported by diminished sensation and presence of pitting edema. Time's up
