Healing of Leg Ulcers
Fig. 4.1 (a, b) Unhealthy chronic ulcer showing slough at the base with patchy areas of granulation tissue in between Fig. 4.2 (a, b) Chronic ulcers showing changes of lipodermatosclerosis…
GENERAL SURGERY
Pain Management
Position change Pressure relief Improvement in nutritional status Debridement Topical antibiotics Wound dressing Vacuum-assisted closure Platelet-rich plasma (PRP) rich in growth factor Analgesics/anesthetics for pain relief Diabetic ulcer: Glycemic control/…
Vasculitis and Ulceration
Fig. 14.1 Cutaneous vasculitis ulcerations The etiology of leg ulcers may be venous, arterial, or neuropathic. In some patients different types of inflammatory vascular disorders (vasculitides) are also known to…
Self-Inflicted Ulceration
© Springer India 2016Ajay K Khanna and Satyendra K Tiwary (eds.)Ulcers of the Lower Extremity10.1007/978-81-322-2635-2_19 19. Self-Inflicted Ulceration Ajay Kumar Khanna1 and Anuradha Khanna2 (1) Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India…
Infective Leg Ulcers
1. Vascular (a) Venous (b) Arterial (c) Mixed 2. Neuropathic (a) Diabetes (b) Tabes (c) Syringomyelia (d) Spinal injury (e) Leprosy 3. Metabolic (a) Diabetes (b) Gout 4. Hematological (a)…
Epidemiology of Leg Ulcer
Vascular Venous Arterial Mixed Neuropathic Diabetes Tabes Syringomyelia Metabolic Diabetes Gout Prolidase deficiency Hematological Sickle-cell disease Cryoglobulinemia Trauma Pressure Injury Burns Tumors Basal cell carcinoma Squamous cell carcinoma Infections Bacterial…
Impact of Ulceration
© Springer India 2016Ajay K Khanna and Satyendra K Tiwary (eds.)Ulcers of the Lower Extremity10.1007/978-81-322-2635-2_2 2. Impact of Ulceration Sanjeev Kumar Gupta1 (1) Department of General Surgery, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India …
Severe Epigastric Pain with Nausea and Vomiting
Condition History and physical Gastroenteritis Nausea, extensive vomiting, diarrhea, myalgia, fever, mild abdominal tenderness Acute gastritis Burning/gnawing epigastric pain, NSAIDa use, mild abdominal tenderness Acute cholecystitis Right upper quadrant/epigastric pain…
Postprandial RUQ Pain
Diagnosis History and physical Symptomatic cholelithiasis RUQ pain radiating around right back after fatty meals, resolves after a few hours, female, multigravida, obese Acute cholangitis Persistent RUQ pain, fever, jaundice…
Nausea, Vomiting, and Left Groin Mass
Type Examples Comments Malformation Undescended testicle, varicocele, hydrocele, hernias Hernias will protrude with straining and may reduce with pressure Infectious/inflammatory Lymphadenopathy (reactive), mononucleosis (EBV), abscess, sarcoidosis, lymphogranuloma venereum “Shotty,” tender…
