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Answer :
Final answer:
The most likely diagnosis for the patient's symptoms is Amyloidosis. Amyloidosis is characterized by the deposition of abnormal protein in organs and tissues, leading to manifestations such as easy bruising, rash, hepatomegaly, and proteinuria.
Explanation:
The most likely diagnosis for the 60-year-old woman presenting with easy bruising and bleeding after minor trauma, a rash around her eyes, hepatomegaly, and 4+ proteinuria is Amyloidosis.
Amyloidosis is a condition characterized by the deposition of abnormal protein called amyloid in organs and tissues. It can affect multiple organs, including the liver, leading to hepatomegaly. The proteinuria is a result of kidney involvement. The presence of ecchymoses suggests the impairment of blood clotting due to amyloid deposits in blood vessels.
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