ULCER

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ulcer	venous	arterial	Diabetic
S -Site	Gaiter area	Pressure area	Pressure area
S -Skin	Red,warm edematous	Pale/gray/black °edema	Dry,thin
B -Base	Beefy red shallow	Grey/yellow deep	Necrotic Deep
D-discharge	copius	minimal	No(purulent if infected)
M-margin	irregular	Regular punch out	Undefined Punch out
P-pain	Mild Relief by elevate leg	Severe Relief by dependency Worse by elevation	painless
P-pulses	present	absent	present
causes	Stasis- varicose/DVt	Ischemic -large A= athreoscelosis,embolism Small A= burger's/ raynauld ds,etc	Diabetic neuropathy



venous ulcer



neck pain followed by headache= migrain 0r tension headache??