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Are there diminished or absent peripheral pulses? The finding of poor peripheral pulses would suggest that the lesion is secondary to ischemia from arteriosclerosis, Buerger's disease, diabetic arteriolar sclerosis, familial ... DIAGNOSTIC WORKUP
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Are the peripheral pulses diminished or absent? Presence of poor peripheral pulses suggests arteriosclerosis, diabetes mellitus, Buerger's disease, and femoral artery thrombosis.
Are there abnormalities on the neurologic ... DIAGNOSTIC WORKUP
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... Ulcerations of the tongue are most commonly due to aphthous stomatitis (canker sore), but they may appear in various stages of syphilis, in herpes zoster, as a result of repetitive trauma from a sharp or carious tooth, in tuberculosis, and in carcinoma. The chancre
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... Ask the Following Question:
Is the lesion or are surrounding lymph nodes tender? The presence of tenderness of the lesion or the surrounding lymph nodes would suggest chancroid, lymphogranuloma venereum, herpes genitalis, and ... DIAGNOSTIC WORKUP
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... The differential diagnosis of skin ulcers may be approached with anatomy as the basic science, particularly if the ulcer is on one of the legs. Beginning with the skin itself and applying the mnemonic MINT, one can recall the following:
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... Dyspepsia refers to an uncomfortable fullness after meals that's associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excess caffeine intake, dyspepsia without other pathology... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pictures
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... Appearing on the nipple, areola, or the breast itself, an ulcer indicates destruction of the skin and subcutaneous tissue. A breast ulcer is usually a late sign of cancer, appearing well after the confirming diagnosis. Breast ulcers can also... History and physical examination ... Medical causes ... Other causes ... Special considerations
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... A major cause of blindness worldwide, ulcers produce corneal scarring or perforation. They occur in the central or marginal areas of the cornea, vary in shape and size, and may be singular or multiple. Marginal ulcers are the most common form. Prompt treatment (within hours of onset) can... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Peptic ulcers — circumscribed lesions in the mucosal membrane — can develop in the lower esophagus, stomach, pylorus, duodenum, or jejunum. About 80% of all peptic ulcers are duodenal ulcers, which affect the proximal part of the small intestine. ... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Pressure ulcers, commonly called pressure sores or bedsores, are localized areas of cellular necrosis that occur most often in the skin and subcutaneous tissue over bony prominences. These ulcers may be superficial, caused by local skin... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... Ulcerative colitis is an inflammatory, usually chronic disease that affects the mucosa of the colon. It invariably begins in the rectum and sigmoid colon and commonly extends upward into the entire colon; it rarely affects the small intestine,... Causes and incidence ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Dyspepsia refers to an uncomfortable fullness after meals that’s associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excessive... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Appearing on the nipple, areola, or the breast itself, an ulcer indicates destruction of the skin and subcutaneous tissue. A breast ulcer is usually a late sign of cancer, appearing well after the confirming diagnosis. However, it may be the presenting... History and physical examination ... Medical causes ... Other causes ... Special considerations ... Geriatric pointers
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...
Differential Overview
❑ Herpes simplex
❑ Trauma
❑ Syphilis
❑ Fixed drug eruption
&... Diagnostic Approach ... Clinical Findings ... Pictures
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... Differential Overview
❑ Venous insufficiency
❑ Arterial insufficiency
❑ Diabetes/neuropathy
❑ Decubitus ulcer
❑... Diagnostic Approach ... Clinical Findings ... Pictures
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... A major cause of blindness worldwide, corneal ulcers produce corneal scarring or perforation. They occur in the central or marginal areas of the cornea, vary in shape and size, and may be singular or multiple. Marginal ulcers, caused by a sensitivity to ... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Peptic ulcer is a disruption in the gastric or duodenal mucosa when normal defense mechanisms are overwhelmed or impaired by acid or pepsin. Ulcers are circumscribed lesions that extend through the muscularis mucosa. Ulcers are five times more common on... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Pressure ulcers, commonly called pressure sores or bedsores, are localized areas of cellular necrosis that occur most commonly in the skin and subcutaneous tissue over bony prominences. These ulcers may be superficial, caused by local skin irritation with... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations ... Pictures
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... An inflammatory condition that affects the surface of the colon, ulcerative colitis causes friability and erosions with bleeding. The disease usually begins in the rectal area and may extend through the entire bowel. Less frequently, it extends into the splenic flexure, or more... Causes ... Signs and symptoms ... Diagnosis ... Treatment ... Special considerations
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... Dyspepsia refers to an uncomfortable fullness after meals that’s associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excess caffeine... History ... Physical assessment ... Medical causes ... Other causes ... Special considerations ... Pediatric pointers ... Geriatric pointers ... Patient counseling ... Pictures
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... Dyspepsia refers to an uncomfortable fullness after meals that's associated with nausea, belching, heartburn and, possibly, cramping and abdominal distention. Frequently aggravated by spicy, fatty, or high-fiber foods and by excess caffeine intake,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
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... Appearing on the nipple, areola, or the breast itself, an ulcer indicates destruction of the skin and subcutaneous tissue. A breast ulcer is usually a late sign of cancer, appearing well after the confirming diagnosis. Breast ulcers can also result from trauma,... History and physical examination ... Medical causes ... Other causes ... Nursing considerations ... Patient teaching
... READ EXCERPTS »
...
The differential diagnosis of skin ulcers may be approached with
anatomy as the basic science, particularly if the ulcer is on one
of the legs. Beginning with the skin itself and applying the mnemonic
MINT, one can recall the following:
... Pictures
... READ EXCERPTS »
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