Examination of an Ulcer

History

• • Mode of onset-

  • Duration-

  • Pain-

  • Discharge-

  • Associated disease-

Physical Examination-

General Survey-

Local Examination

A. INSPECTION-

• 1. Size & Shape-

  2. Number-

  3. Position-

  4. Edge-

  5. Floor-

  6. Discharge-

  7. Surrounding area-

  8. Even the Whole Limb-

B. PALPATION

• 1. Tenderness-

  2. Edge & Margin-

  3. Base-

  4. Depth-

  5. Bleeding-

  6. Relations with the deeper structures-

  7. Surrounding skin-

C. EXAMINATION OF LYMPH NODES-

D. EXAMINATION FOR VASCULAR INSUFFICIENCY-

E. EXAMINATION FOR NERVE LESION-

CLASSIFICATION OF ULCERS-

Clinical classification of ulcer:

• • Spreading Ulcer-

  • Healing Ulcer-

  • Callous or Chronic Ulcer-

Pathological classification of ulcer:

• • Non-specific ulcers-

  • Specific ulcers-

  • Malignant ulcers-

Outline for writing a case of Ulcer

Differential Diagnosis of Ulcer

Ulcers of the Leg