Ulcers

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Traumatic Ulcer

Ulcers


  • defect in an epithelial surface

Types

Examination

  • sloping edge indicates healing
  • punched out
    • tertiary Syphilis
      • anterior aspect of lower leg
      • yellow "wash-leather" base
    • ischaemic / neuropathic
      • over tips / between toes, pressure areas
      • pale pink base, little granulation tissue
        • bone, tendons seen
      • deeply penetrating
    • ischaemic 
      • painful
      • black eschar
      • cold surrounding tissues
      • intact sensation
    • neuropathic
      • painless
      • surrounding tissues warm
      • sensation lost
  • raised edge
 

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