56 years male no history of DM,HTN . History of trauma 7 year back with fracture of tibia and fibula. spot the diagnosis

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Wt is this

Dis s Guttate psoriasis
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@dermatologist

Malunited #of ankle. Ch. Lymphovenous obstruction. Ortho . Opinion. Varicose vein stalkings to help rrduce oedema.. Us scan fot lower limb vessels.

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CT Scan.

Osteomyelitis with cellulitis

Elephantasis

It is lymphoedema,lymphangiography should be done to know the level of obstruction

Soft tissue hypertrophy

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Malunited fracture of left ankle ..may be varicose veins ..non healing ulcers...hypertrophied scar with swelling. Advice colour doppler of lower limb.Advice compression stockings.

Malunited # tibia with lymphovenous obstruction.stockings, limb elevation, colour doppler of lower limb, ortho opinion

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