A 34‑year‑old woman presents with intermittent double vision…

A 34‑year‑old woman presents with intermittent double vision and drooping of her eyelids that worsen toward the end of the day. She reports difficulty chewing and speaking after prolonged talking, but notes that her symptoms improve after resting. Physical examination reveals bilateral ptosis and proximal muscle weakness that worsens with repeated testing. Sensation and reflexes are normal. Which diagnosis best explains this patient’s symptoms?

A 62‑year‑old man with long‑standing type 2 diabetes present…

A 62‑year‑old man with long‑standing type 2 diabetes presents with a plantar foot ulcer beneath the first metatarsal head. He reports little pain at the site. Exam reveals callus formation around the ulcer, diminished protective sensation to monofilament testing, and intact peripheral pulses. There is no evidence of infection or ischemia. Which intervention is most important to prevent recurrence and promote healing of this type of ulcer?

A 79‑year‑old man who is bedbound following a recent stroke…

A 79‑year‑old man who is bedbound following a recent stroke is evaluated for a sacral wound. On examination, the ulcer shows full‑thickness tissue loss with visible subcutaneous fat and slough. The wound edges are irregular, and there is some undermining. Bone, tendon, and muscle are not visible. what stage is this wound ?