Large Abdominal Ecchymosis: Your Dx?

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Poll

This firm exquisitely tender mass developed after the 77-year-old woman fell a few days earlier. She had a history of an embolic cerebral stroke, for which she takes warfarin. Your Dx?

This firm exquisitely tender mass developed after the 77-year-old woman fell a few days earlier. She had a history of an embolic cerebral stroke, for which she takes warfarin.

To which of the following do you attribute the extensive bruising?

Henoch-Schonlein purpura
Idiopathic thrombocytopenic purpura
Thrombotic thrombocytopenic purpura
Abdominal wall hematoma

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