63 year old female known htn and dm and on medicine. pt having these bluish color patch on elbow ,tricep right side of the body and right breast no itching. is it iccymosis or differential diagnose. respected sir suggest diagnose and management.

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Investigate for Bleeding disorder. Haemgram PS for comment and platelet,bleeding and cloting time, prothrombin time INR ratio, . Check medicines prescription and review with reports.

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Iccymosis May b due to old age skin or htn or dm or pressure of unknown origin May fade away as time passes

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Ecchymosis

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Most probably iccymosis Needs to evaluate, Hemogram BT, CT, PT

Senile eccymosis. If she on any anticoagulation, or blood thinners stop, BT,CT, PT, APTT ,PSS , Substitute with High doses of VitC .

PURPURA- Drug, infections & internal malignancy has to be ruled out. Adv.Complete Haemogram.

If medicine Ecosprin is given stop and refer for further investigation Lime PT INR PLT

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Ecchymosis

@Dr. Joni Yadav -haemorrhegic purpura

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Ecchymosis

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