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Ulcers Examination

- Ask the patient what he/she thinks caused the ulcer.


- Examine remembering BEDDS:

Base: look for granulation tissue, necrotic tissue, or possible malignancies. The
base may be the same or deeper than the floor.

Edges: there are 5 types,

1- Sloping (indicates healing, so usually traumatic/venous)


2- Punched Out (ischemic or neuropathic)
3- Undermined (pressure necrosis or TB)
4- Rolled (BCC)
5- Everted (SCC)

Describe what structure is visualized at the base (ex: fascia, muscle, bone)

Discharge and what type:

1- serous (clear)
2- sanguinous (bloody)
3- serosanguinous (mixed, orange)
4- purulent (infected)

Surrounding Skin

- Remember the types of ulcers:

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