A confused patient who has been restrained because of combativeness and hyperactivity might, because of the restraints, display: a. Lentigines b. Senile purpura c. Senile angiomas d. Seborrheic keratoses

A. Lentigines, also known as age spots or liver spots, are small, flat, brown macules caused by chronic sun exposure and aging. They are not related to trauma or physical restraint. B. Senile purpura appears as purple or reddish bruises on the skin, usually on the forearms or hands, caused by fragile blood vessels and thinning skin in older adults. In a patient who has been restrained, friction or pressure from restraints can easily rupture these fragile vessels, leading to purpura. This makes senile purpura a common manifestation of trauma in elderly patients. C. Seborrheic keratoses are benign, wart-like growths that appear with aging. They are typically raised, brown or black, and painless. They are not caused or exacerbated by physical trauma or restraint. D. Senile angiomas, also called cherry angiomas, are small, bright red vascular lesions common in older adults. They are not related to trauma or friction from restraints and usually appear spontaneously due to aging.