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Pressure Ulcer

Signs & Symptoms

 History of previous pressure ulcers
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]
Orthopedic surgery
Note: cause impaired sensation, cause immobility
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]
Orthopedic surgery following a hip fracture
Note: cause impaired sensation, cause immobility
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]
Surgery
Note: cause impaired sensation, cause immobility
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]

Physical Examination

 Wound in patient lying totally immobile for extended period on inappropriate surface
Note: for an extended period on a surface not specifically designed to reduce the possibility of pressure damage.
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]
Firm Nonblanching erythema
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]
Mushy Nonblanching erythema
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]

Lab / Serology

 Increased foul odor on wound bed
Note: due to infection
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]

Imagin Study

Complication

 Osteomyelitis #Stage_4
Note: When there is exposed bone, osteomyelitis should be considered
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]
Extensive wounds with bony involvement contain mass of necrotic tissue
Ref: Epocrates [ https://online.epocrates.com/diseases/37811/Pressure-ulcer/Highlights-Basics]
Mass of necrotic tissue
Ref: Epocrates [ https://online.epocrates.com/diseases/37811/Pressure-ulcer/Highlights-Basics]

Risk Factors

 Elder
Ref: Epocrates [ https://online.epocrates.com/diseases/37832/Pressure-ulcer/Risk-Factors]

Cause

Other