5th August 2020

A 63-year-old gentleman with a past medical history of a STEMI 4 years ago presents to the GP

A 63-year-old gentleman with a past medical history of a STEMI 4 years ago presents to the GP with a well-circumscribed punched out ulcer on the dorsal aspect of his right foot. He reports the ulcer as painful and generally suffers from burning pains in said foot which are typically worse at night. On examination, the lower is cool to the touch with shiny surrounding skin and hair loss.

Select the SINGLE most appropriate type of ulcer this gentleman is suffering from. Select ONE option only.