Pressure-induced skin and soft tissue injury Quiz: Ace Your Exams
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An 82-year-old woman is transported to the emergency department from a nursing home for evaluation of altered mental status and fever for the past three days. Medical history includes well-controlled Type 2 diabetes mellitus, hypertension, and a right middle cerebral artery ischemic stroke that occurred five years ago. Due to the stroke, the patient has limited mobility and is largely bedbound. Temperature is 38.7°C (101.7°F), blood pressure is 179/98 mmHg, pulse is 83/min, and oxygen saturation is 98% on room air. Physical examination reveals a 10 cm x 10 cm x 3 cm wound with soft tissue necrosis and surrounding erythema in the gluteal region as shown in the image below. Which of the following best describes the underlying cause of this patient’s physical examination findings?

Image reproduced from Wikimedia Commons

Image reproduced from Wikimedia Commons
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