A 50-year-old female who has born five children complains that she has noticed vaginal spotting of blood after intercourse for approximately the past 6 months. More recently, she has had a foul-smelling vaginal discharge and indicates that her left leg seems larger than her right one. She previously had syphilis. She has smoked one pack of cigarettes per day for 20 years. Examination of her back shows left flank tenderness. The circumferences of her left thigh and calf are larger than those of the right. Pelvic examination shows normal female external genitalia and a 3-cm growth on the surface on the left lip of the uterine cervix.  ◆ What is the most likely diagnosis? ◆ What is the applied clinical anatomy for this condition?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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A 50-year-old female who has born five children complains that she has noticed 
vaginal spotting of blood after intercourse for approximately the past 6 months. 
More recently, she has had a foul-smelling vaginal discharge and indicates that 
her left leg seems larger than her right one. She previously had syphilis. She has 
smoked one pack of cigarettes per day for 20 years. Examination of her back 
shows left flank tenderness. The circumferences of her left thigh and calf are 
larger than those of the right. Pelvic examination shows normal female external 
genitalia and a 3-cm growth on the surface on the left lip of the uterine cervix. 


◆ What is the most likely diagnosis? 
◆ What is the applied clinical anatomy for this condition?

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