Problem: A 55-year-old man presents to clinic with a chief complaint of a painful right toe. He lives in the back country and spends most of his time outdoors. He also complains of "aches and pains all over." Examination of the ear is notable for the following: The lesion is not painful or tender. Which of the following is the most likely diagnosis? Need Assignment Help? Melanoma. Moluscum contageosum. Gout. Infected furuncle. Keloid from an old scar.