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    Ulcerated


  • Clarifications



    1) " Ulcerated" -- As it applies to Ulcerated

    An ulcer (from Latin ulcus ) is an open sore of the skin, eyes or mucousmembrane, often caused by an initial abrasion and generally maintained by an inflammation and/or an infection.

    Contents 1 What are ulcers 2 Skin ulcers

    2.1 Merck Manual classification 2.2 National Pressure Ulcer Advisory Panel (NPUAP) 2.3 Wagner's classification

    3 Other locations 4 Pathology of ulceration

    What are ulcers

    Ulcers are non healing wounds that develop on the skin, mucous membranes or eye. Although they have many causes, they aremarked by

    1. Loss of integrity of the area
    2. Secondary infection of the site by bacteria, fungus or virus
    3. Generalized debilitation ofthe patient
    4. A lengthy healing time

    Skin ulcers

    The skin is the largest organ of the human body. Classification systems are used tocommunicate the severity and depth of an ulcer. It is an easy way to communicate changes for the better, or worse.

    Merck Manual classification
  • Stage 1: The skin is red. The underlying tissue is soft. The redness disappears with minor pressure.
  • Stage 2: There is redness, swelling and hardening of the skin around thearea. Sometimes there is blistering. Sometimes there is loss of the superficial skin.
  • Stage 3: The skin becomes necrotic. There may be exposure of the fat beneath the skin. The skin may be lost through all its layers.
  • Stage 4: There is more loss of fat and more necrosis of the skin through to the muscle beneath.
  • Stage 5: Continuing loss of fat and necrosis of muscle below.
  • Stage 6: Bone destruction begins with irritation of the bone, erosion of thebone cortex progressing to [osteomyelitis. There may be sepsis of a joint, pathologic fracture or generalized body infection, septicemia.
  • National Pressure Ulcer Adviso...

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