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.
Symptoms Related to Edema and Painful Swollen Legs and Ankles. Edema that causes swelling in the legs from venous reflux can lead to several symptoms: Swelling in the areas around the ankle and lower leg; Puffiness of the skin, which may cause it to appear stretched and shiny; Thinning of the skin