tag:blogger.com,1999:blog-1421771021860540759.post6394554530743536177..comments2023-05-22T22:13:33.641+08:00Comments on the power of sharing: Approach to an Ulcer ainaa ismailhttp://www.blogger.com/profile/15177843382489653046noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-1421771021860540759.post-10153407422450599042009-03-18T01:20:00.000+08:002009-03-18T01:20:00.000+08:00alah jeles ar tu..alah jeles ar tu..Jacknaimhttps://www.blogger.com/profile/16355321601428333016noreply@blogger.comtag:blogger.com,1999:blog-1421771021860540759.post-35743004500539945472009-03-18T00:52:00.000+08:002009-03-18T00:52:00.000+08:00tq naim ku..aku x nampak RASIONALNYA ko meletakkan...tq naim ku..<BR/><BR/>aku x nampak RASIONALNYA ko meletakkan gambar itu di sini.... x perlu kottttttttttt.......Unknownhttps://www.blogger.com/profile/15307238850237588516noreply@blogger.comtag:blogger.com,1999:blog-1421771021860540759.post-16777341314337559652009-03-17T23:06:00.000+08:002009-03-17T23:06:00.000+08:00Approach to an ulcerBasically it is divided into 3...Approach to an ulcer<BR/><BR/>Basically it is divided into 3 steps. Inspection, palpation and focal examination.<BR/><BR/>Inspection<BR/>1) Size and shape<BR/>2) Number<BR/>3) Location<BR/>4) Margin (Healing, Inflammed, Fibrosed)<BR/>5) Edge (Sloping, punched, everted, undermined, everted, raised)<BR/>6) Floor (Granulation tissue, slough, discharge)<BR/>7) surrounding skins (inflammation, pigmentation, scars&puckering, hypopigmentation)<BR/><BR/>Palpation<BR/>1) Surrounding skins (Temperature, tenderness)<BR/>2) Edge of the ulcer (soft: healing ulcer, firm: non healing, hard:malignant)<BR/>3) Floor of ulcer (Consistency, underlying structure)<BR/>4) Test the fixity (skin, muscle, bone)<BR/><BR/>Focal examination<BR/>1) Lymph node<BR/>2) Arteries, venous circulation, nerves<BR/>3) Movement of neighboring joint<BR/><BR/>******Grading of ulcer (especially for ulcer foot)<BR/>Grade 0 — No ulcer in a high risk foot.<BR/> Grade 1 — Superficial ulcer involving the full skin thickness but not underlying tissues<BR/>• Grade 2 — Deep ulcer, penetrating down to ligaments and muscle, but no bone involvement or abscess formation<BR/>• Grade 3 — Deep ulcer with cellulitis or abscess formation, often with osteomyelitis <BR/>• Grade 4 — Localized gangrene.<BR/>• Grade 5 — Extensive gangrene involving the whole foot.Jacknaimhttps://www.blogger.com/profile/16355321601428333016noreply@blogger.com