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