A 79-year-old woman arrives at the office for an examination of walking difficulties caused by weariness and bilateral leg discomfort. The pain began in her lower legs three weeks ago and has now spread to her thighs' muscles. She has also seen red blotches on her legs. The patient has been living alone since her spouse died three years ago and is mostly housebound. Her diet is primarily comprised of bread and tinned meat items. The gums are swollen and sensitive on inspection. The exhibit depicts the patient's skin results. Muscles of the lower limbs are tender to palpation. Imaging studies reveal a tibial subperiosteal hematoma. Which of the following nutrient deficiencies is most likely responsible for this patient's symptoms?

Question

A 79-year-old woman arrives at the office for an examination of walking difficulties caused by weariness and bilateral leg discomfort. The pain began in her lower legs three weeks ago and has now spread to her thighs' muscles. She has also seen red blotches on her legs. The patient has been living alone since her spouse died three years ago and is mostly housebound. Her diet is primarily comprised of bread and tinned meat items. The gums are swollen and sensitive on inspection. The exhibit depicts the patient's skin results.   Muscles of the lower limbs are tender to palpation.  Imaging studies reveal a tibial subperiosteal hematoma.  Which of the following nutrient deficiencies is most likely responsible for this patient's symptoms?

Quizplus · Accepted Answer

Eductional Objective: Ascorbic acid (vitamin C) is a cofactor in the hydroxylation of proline and lysine residues and is required for collagen production. Microvascular hemorrhage, gingivitis, and decreased wound healing are symptoms of deficiency (scurvy).

A 79-Year-Old Woman Arrives at the Office for an Examination