### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have had a bruise on the tops of both my feet for about 12 years. They never completely go away, but they do grow, shrink and change in size. One doctor said that for whatever reason my blood vessels seem to be leaking and rupturing. For the first time ever, these "bruises" are coming up my legs. as far as i can remember there was no trama. they dont hurt to touch, my toes do go numb often and they are always cold. i also have lots of "growing pains" in my hands wrist and lower legs and feet. blood test showed that all my platlets and major orgens and blood counts were normal, as well as a spinal lumbar MRI. I am slightly anemic, and my thyroid jumps from under to over active, never too dramatic though and my meds are adjusted right away. what could this be. what should i make sure my doctor checks for?

### output:

Hello and welcome to Chat Doctor, I am of the opinion that you should consult a surgeon for clinical assessment of the bruises on feet. A Doppler ultrasound of the lower limb vessels will help to determine the status of blood vessels of lower limbs. If there is any abnormality of lower limb vessels it will show up on Doppler ultrasound. Numbness and cold sensation on the feet are also suggestive of vascular problem in lower limb. There is a possibility that arterial supply to lower limb is compromised which is responsible for numbness. Rupture and abnormality of veins could be the cause of bruising of feet and legs. Your history suggests that you are suffering from thyroid disorder. Medications are required to prevent the swings from hypothyroidism to hypothyroidism. Complete hologram is required to know the extent of anemia and type of anemia. Thus, consult your primary healthcare provider for hematological investigations. Thanks and take care Chat Doctor. 