Spot Dx — Can you spot the cause of this bruising?

Tim is a 28-year-old security shift worker who presents with a month of fatigue and bilateral leg pain

Test your clinical know-how by taking the quiz below. If you select the wrong answer, have another go — you can try as many times as you like!


Photo: Reproduced from BMJ, Nair A et al; 353:k4676, 2018 with permission from BMJ Publishing Group Ltd.

Dr Kate Kelso is a GP and medical editor at Australian Doctor.

References on request from kate.kelso@adg.com.au