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What are the signs of compromised blood flow? (photo)

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deb C
Looking at the following picture, what concern if any can be seen of compromised blood flow or infection. If there was any concern , What course of action should be taken?

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Dr. Robert Galiano, MD
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Dr. Michael I. Echavez, MD
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Dr. Jacob Bloom, MD
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Dr. Francis R. Palmer, III, MD (retired)
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