a recognition that genres are situated within discourse communities, wherein the beliefs and naming practices of members have relevance an emphasis on communicative purpose and social action an interest in generic structure (and its rationale)
Because of the potential implication of circulation disorders, darkened skin around the ankles that is not immediately explainable by simple environmental factors should be promptly called to the attention of a medical doctor for appropriate diagnosis and treatment.
1 Ankle swelling and Dark skin and Change in shoe size (2 causes) 2  Ankle swelling and Dark skin and Circulation symptoms (2 causes) 3  Ankle swelling and Dark skin and Deep vein thrombosis (2 causes) 4  Ankle swelling and Dark skin and Edema (2 causes)  Ankle swelling and Dark skin and Excess skin pigmentation (2 causes)