First knee jerk response is to think that this patient is elderly due to the visible tendons on hand. Possibly malnourished child or teen. Def poor hygiene with dirt on face and unkempt hair.
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I think that might also be dirt and grime. Probably never been able to wash.
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Oh... That's is the patellar tendon!!! Good Lord in heaven!!!
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That's the patellar tendon and very poor hygiene... Therefore, poss teenager
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NEVER STOP PRAYING.
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