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A 56-Year-Old Woman Comes to the Office Due to Skin

question 367

Multiple Choice

A 56-year-old woman comes to the office due to skin lesions on her right arm that she noticed 4 weeks ago.  The patient has no fever or chills.  The lesions do not itch.  She underwent a right mastectomy for breast cancer 7 years ago and was treated with radiation and chemotherapy.  Since her treatment, the patient has had swelling of the right arm.  Vital signs are normal.  There is nonpitting edema of the right upper extremity.  On the inner surface of the right upper arm is a red plaque with no distinct borders, studded with 3 purple papules.  The right breast has a well-healed scar, and the left breast is normal.  Which of the following is the best next step in management of this patient?

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Definitions:

Negative Affect Reciprocity

A tendency for negative emotions in one partner to follow from the other partner’s negativity.

Gottman

A reference to John Gottman, a psychologist known for his work on marital stability and relationship analysis through scientific direct observations.

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Charging the highest possible price that buyers who want the product will pay.

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