An ulcer is a break in the continuity of the covering epithelium-skin or mucous membrane.
Factors causing delayed healing
- Anaemia
- Absence of rest
- Hypoproteinaemia
- Diabetes
- Malnutrition
- Irradiation
- Uraemia
- Neutropenia
- Ischemia
- Active infection
Discharge from an ulcer
Serous discharge |
Healing ulcer |
Purulent discharge |
Spreading ulcer |
Bloody discharge |
Malignant ulcer |
Discharge with bony spicules |
Osteomyelitis |
Greenish discharge |
Pseudomonas infection |
Investigations
- Haematological
- LFT/protein
- Blood sugar
- Montoux test
- Serological test for syphilis
- Biopsy
- Swab
- FNAC of enlarged lymph nodes
- Xray of the affected part
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