Conversation: The conversation between human and AI assistant.
[|Human|] i have had several unexplained bruises that have shown up on my lower calves and the inside of both my knees..also the back of my forearm.I noticed the last few days I have been exhausted my left shoulder is sore and tender. I have a history of values in my legs not working and have had one fixed..I am 48 with nerve radiations down my back sometimes depending on how much I am on my feet,Lymes and have been treated for high blood pressure and anemia..I am concerned that there is something else going on here as I havent dont anything to cause the bruises or be so tired..should i be concerned ,I eat a proper diet and try to move and not just around all day.
[|AI|]  Hi, Unexplained bruises on the body are pretty serious. As you did not mention a history of direct trauma, I assume that these bruises have been developed by themselves. This problem is not related to Lyme, articular low back pain, increased blood pressure and anemia.  This is not a problem that you can ignore or treat by yourself. You should refer to an internal medicine specialist first to check for coagulation problems (disorders that increase the tendency to bleeding.) He/She will order some lab data such as PT, PTT, BT, CBC with PLT and may be Protein S a Protein C. Also, check your urine to see if its color is changed to orange or red.  In summary, bruises coming simultaneously in multiple areas might be serious and should be followed up by a specialist.  Hope I have answered your query. Let me know if I can assist you further.