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Review Question - QID 109115

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QID 109115 (Type "109115" in App Search)
A 79-year-old woman with a history of osteoporosis and colon cancer presents to her primary care physician with complaints of bruising on her hands and arms. She states that she initially noticed scattered bruises on the backs of her hands one month prior, which have since slightly enlarged and coalesced into larger areas. She denies recent trauma to her hands and arms and has no family history of bleeding diatheses. Her medications include atorvastatin, zolendronic acid, a calcium supplement, and a daily multivitamin. The patient’s temperature is 98.6°F (37.0°C), pulse is 65/min, blood pressure is 140/75 mmHg, respirations are 12/min, and oxygen saturation is 99% on room air. Physical exam is notable for a thin, elderly woman with prominent kyphosis. Cardiopulmonary exam is unremarkable, capillary refill is 2 seconds, and part of the skin exam shown in Figure A. Laboratory results are below:
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