A holistic approach

A nursing home resident and his family request no hospital management for a complicated wound, so the GP takes a different tack.
Inayat Haer

Jack, an 83-year-old nursing home resident, has increasing redness around the anus and natal cleft, noted by nursing staff who request his GP to review.

The staff report that the area is tender on palpation, there is no associated discharge, but focal small, spotted, dark discolorations are noted.