Abdominal
| Respiratory
| Cardiovascular
| Nose
and PNS | Oral
Cavity | Ear
| Digital
Rectal Examination | Ulcer
|
Examination
of an Ulcer
(The description below does not match with the images given beside the text. The images are only for illustrative purposes.)
Inspection
Ulcer over the sole. |
A single (number), irregularly shaped (shape) ulcer of size around 10 cm x 5cm
(size) is present over the dorsum of
the foot (site), extending from the
lateral malleolus up to the base of the toes (extension).
The floor of the ulcer is
pinkish to red (color) with minimal (amount) serous (type of discharge) discharge. No slough, foreign bodies or any
other debris (Content on the floor).
Multiple tendons are visible towards the distal end (base).
The edge of the ulcer is
sloping type (character), with healthy
pink granulation tissue (content) and
the margin is sharp and regular.
The surrounding skin is exfoliated upto the level of ankle joint. The
skin around the ulcer is non-erythematous,
and non-edematous. No scars, abnormal pigmentation, or excoriation
marks present.
The joint mobility of the
proximal and distal joint along with that of the entire limb is not impaired. (Gross motor status and Range of motion of
the affected joints)
Palpation
On palpation, there is local
rise in temperature and mid tenderness over the ulcer.
The edges are not indurated and the base of the wound are
also not indurated. The ulcer is 3-4mm deep,
does not bleed on touch, and mobile over the underlying base.
The skin around the ulcer has mild rise in temperature locally with
tenderness present. The skin is freely
mobile on the underlying structure.
Dorsalis pedis artery,
anterior tibial and posterior tibial artery are palpable and bilaterally symmetrical.
Capillary refill time over the distal phalanges is more than 2 s.(Gross vascular status)
Active and passive range of
motion over the limb is not restricted. Sensation is grossly intact over the
area distal to the ulcer. (Gross
Neurological status and range of motion)
The draining lymph nodes over the left inguinal region are not palpable
significantly.
Ulcer examination is
incomplete without draining lymph nodes palpation.
Abdominal | Respiratory | Cardiovascular | Nose and PNS | Oral Cavity | Ear | Digital Rectal Examination | Ulcer |
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