Pressure ulcer - Revision history

Michael at 19:10, 2 December 2013

2013-12-02T19:10:00Z

← Older revision		Revision as of 19:10, 2 December 2013
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	*Mechanical injury.<ref name=pmid20299616>{{Cite journal \| last1 = Olesen \| first1 = CG. \| last2 = de Zee \| first2 = M. \| last3 = Rasmussen \| first3 = J. \| title = Missing links in pressure ulcer research--an interdisciplinary overview. \| journal = J Appl Physiol \| volume = 108 \| issue = 6 \| pages = 1458-64 \| month = Jun \| year = 2010 \| doi = 10.1152/japplphysiol.01006.2009 \| PMID = 20299616 }}</ref><ref name=pmid15157010>{{Cite journal \| last1 = Hamanami \| first1 = K. \| last2 = Tokuhiro \| first2 = A. \| last3 = Inoue \| first3 = H. \| title = Finding the optimal setting of inflated air pressure for a multi-cell air cushion for wheelchair patients with spinal cord injury. \| journal = Acta Med Okayama \| volume = 58 \| issue = 1 \| pages = 37-44 \| month = Feb \| year = 2004 \| doi = \| PMID = 15157010 }}</ref>		*Mechanical injury.<ref name=pmid20299616>{{Cite journal \| last1 = Olesen \| first1 = CG. \| last2 = de Zee \| first2 = M. \| last3 = Rasmussen \| first3 = J. \| title = Missing links in pressure ulcer research--an interdisciplinary overview. \| journal = J Appl Physiol \| volume = 108 \| issue = 6 \| pages = 1458-64 \| month = Jun \| year = 2010 \| doi = 10.1152/japplphysiol.01006.2009 \| PMID = 20299616 }}</ref><ref name=pmid15157010>{{Cite journal \| last1 = Hamanami \| first1 = K. \| last2 = Tokuhiro \| first2 = A. \| last3 = Inoue \| first3 = H. \| title = Finding the optimal setting of inflated air pressure for a multi-cell air cushion for wheelchair patients with spinal cord injury. \| journal = Acta Med Okayama \| volume = 58 \| issue = 1 \| pages = 37-44 \| month = Feb \| year = 2004 \| doi = \| PMID = 15157010 }}</ref>

			==Gross==
			Typical locations:
			*Ischial tuberosity.
			*Sacrum.<ref name=pmid19060829>{{Cite journal \| last1 = Beldon \| first1 = P. \| title = Problems encountered managing pressure ulceration of the sacrum. \| journal = Br J Community Nurs \| volume = 13 \| issue = 12 \| pages = S6, S8, 10 passim \| month = Dec \| year = 2008 \| doi = \| PMID = 19060829 }}</ref>
	==Microscopic==		==Microscopic==
	Features:		Features:

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2013-12-02T19:05:24Z

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← Older revision		Revision as of 19:05, 2 December 2013
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	- ULCERATED SKIN WITH EPIDERMAL HYPERPLASIA, AND DERMAL AND SUBCUTANEOUS TISSUE WITH		- ULCERATED SKIN WITH EPIDERMAL HYPERPLASIA, AND DERMAL AND SUBCUTANEOUS TISSUE WITH
	CHRONIC INFLAMMATION.		CHRONIC INFLAMMATION.
			- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
			</pre>

			<pre>
			LESION ("SACRAL ULCER"), EXCISION:
			- ULCERATED SKIN AND SUBCUTANEOUS TISSUE WITH REACTIVE CHANGES, MICROABSCESS
			AND GRANULATION TISSUE.
	- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
	</pre>		</pre>

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2013-07-24T08:29:44Z

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← Older revision		Revision as of 08:29, 24 July 2013
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	<pre>		<pre>
	LESION ("RIGHT ISCHIAL ULCER"), EXCISION:		LESION ("RIGHT ISCHIAL ULCER"), EXCISION:
	- ULCERATED SKIN WITH EPIDERMAL HYPERPLASIA, AND DERMAL AND ~~SUBCUTANOUS~~ TISSUE WITH		- ULCERATED SKIN WITH EPIDERMAL HYPERPLASIA, AND DERMAL AND SUBCUTANEOUS TISSUE WITH
	CHRONIC INFLAMMATION.		CHRONIC INFLAMMATION.
	- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.

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2013-07-24T08:27:39Z

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	- ULCERATED SKIN AND SUBCUTANEOUS TISSUE WITH REACTIVE CHANGES.		- ULCERATED SKIN AND SUBCUTANEOUS TISSUE WITH REACTIVE CHANGES.
	- NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR MALIGNANCY.
			</pre>

			<pre>
			LESION ("RIGHT ISCHIAL ULCER"), EXCISION:
			- ULCERATED SKIN WITH EPIDERMAL HYPERPLASIA, AND DERMAL AND SUBCUTANOUS TISSUE WITH
			CHRONIC INFLAMMATION.
			- NEGATIVE FOR DYSPLASIA AND NEGATIVE FOR MALIGNANCY.
	</pre>		</pre>

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2013-07-24T08:22:06Z

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	- ULCERATED SKIN WITH PSEUDOEPITHELIOMATOUS HYPERPLASIA AND CHRONIC ACTIVE		- ULCERATED SKIN WITH PSEUDOEPITHELIOMATOUS HYPERPLASIA AND CHRONIC ACTIVE
	INFLAMMATION -- CONSISTENT WITH A PRESSURE ULCER.		INFLAMMATION -- CONSISTENT WITH A PRESSURE ULCER.
			- NEGATIVE FOR MALIGNANCY.
			</pre>

			<pre>
			LESION ("LEFT ISCHIAL ULCER"), EXCISION:
			- ULCERATED SKIN AND SUBCUTANEOUS TISSUE WITH REACTIVE CHANGES.
	- NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR MALIGNANCY.
	</pre>		</pre>

Michael: more

2013-07-24T08:04:27Z

← Older revision		Revision as of 08:04, 24 July 2013
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	'''Pressure ulcer''', also known as '''decubitus ulcer''' (as it often arises from lying down, i.e. being decubitus, a long time), is a relatively common [[ditzel]].		'''Pressure ulcer''', also known as '''decubitus ulcer''' (as it often arises from lying down, i.e. being decubitus, a long time), is a relatively common [[ditzel]].

			Ulcers overlying the ischial tuberosity (ischial ulcers) are pressure ulcers.

	==General==		==General==

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2013-07-24T07:55:21Z

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	<pre>		<pre>
	SKIN LESION ("DECUBITUS ULCER"), EXCISION:		SKIN LESION ("DECUBITUS ULCER"), EXCISION:
	- ULCERATED SKIN WITH ACANTHOSIS, HYPERKERATOSIS, PARAKERATOSIS, AND CHRONIC ACTIVE INFLAMMATION -- CONSISTENT WITH A PRESSURE ULCER.		- ULCERATED SKIN WITH ACANTHOSIS, HYPERKERATOSIS, PARAKERATOSIS, AND CHRONIC
			ACTIVE INFLAMMATION -- CONSISTENT WITH A PRESSURE ULCER.
	- NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR MALIGNANCY.
	</pre>		</pre>
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	SKIN LESION ("DECUBITUS ULCER"), EXCISION:		SKIN LESION ("DECUBITUS ULCER"), EXCISION:
	- ULCERATED SKIN WITH PSEUDOEPITHELIOMATOUS HYPERPLASIA AND CHRONIC ACTIVE INFLAMMATION -- CONSISTENT WITH A PRESSURE ULCER.		- ULCERATED SKIN WITH PSEUDOEPITHELIOMATOUS HYPERPLASIA AND CHRONIC ACTIVE
			INFLAMMATION -- CONSISTENT WITH A PRESSURE ULCER.
	- NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR MALIGNANCY.
	</pre>		</pre>

Michael at 07:54, 24 July 2013

2013-07-24T07:54:34Z

← Older revision		Revision as of 07:54, 24 July 2013
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	==General==		==General==
	*Common, esp. in spina bifida,<ref name=pmid21129225>{{Cite journal \| last1 = Nthumba \| first1 = PM. \| title = Marjolin's ulcers: theories, prognostic factors and their peculiarities in spina bifida patients. \| journal = World J Surg Oncol \| volume = 8 \| issue = \| pages = 108 \| month = \| year = 2010 \| doi = 10.1186/1477-7819-8-108 \| PMID = 21129225 }}</ref> individuals with spinal cord injuries.		*Common, esp. in spina bifida,<ref name=pmid21129225>{{Cite journal \| last1 = Nthumba \| first1 = PM. \| title = Marjolin's ulcers: theories, prognostic factors and their peculiarities in spina bifida patients. \| journal = World J Surg Oncol \| volume = 8 \| issue = \| pages = 108 \| month = \| year = 2010 \| doi = 10.1186/1477-7819-8-108 \| PMID = 21129225 }}</ref> individuals with spinal cord injuries.<ref name=pmid22316632>{{Cite journal \| last1 = Schessel \| first1 = ES. \| last2 = Ger \| first2 = R. \| last3 = Oddsen \| first3 = R. \| title = The costs and outcomes of treating a deep pressure ulcer in a patient with quadriplegia . \| journal = Ostomy Wound Manage \| volume = 58 \| issue = 2 \| pages = 41-6 \| month = Feb \| year = 2012 \| doi = \| PMID = 22316632 }}</ref>

	Etiology:		Etiology:

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2012-11-10T19:30:00Z

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← Older revision		Revision as of 19:30, 10 November 2012
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	<pre>		<pre>
	SKIN LESION ("DECUBITUS ULCER"), EXCISION:		SKIN LESION ("DECUBITUS ULCER"), EXCISION:
	- ULCERATED SKIN WITH ACANTHOSIS, HYPERKERATOSIS, AND CHRONIC ACTIVE INFLAMMATION -- CONSISTENT WITH A PRESSURE ULCER.		- ULCERATED SKIN WITH ACANTHOSIS, HYPERKERATOSIS, PARAKERATOSIS, AND CHRONIC ACTIVE INFLAMMATION -- CONSISTENT WITH A PRESSURE ULCER.
	- NEGATIVE FOR MALIGNANCY.		- NEGATIVE FOR MALIGNANCY.
	</pre>		</pre>

Michael: /* Microscopic */

2012-11-10T19:28:49Z

Microscopic

← Older revision		Revision as of 19:28, 10 November 2012
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	Features:		Features:
	*Ulceration - full thickness loss of the epidermis.		*Ulceration - full thickness loss of the epidermis.
	*Epidermal thickening adjacent to ulcer - [[pseudoepitheliomatous hyperplasia]].<ref name=pmid21399447>{{Cite journal \| last1 = Zayour \| first1 = M. \| last2 = Lazova \| first2 = R. \| title = Pseudoepitheliomatous hyperplasia: a review. \| journal = Am J Dermatopathol \| volume = 33 \| issue = 2 \| pages = 112-22; quiz 123-6 \| month = Apr \| year = 2011 \| doi = 10.1097/DAD.0b013e3181fcfb47 \| PMID = 21399447 }}</ref>		*Epidermal thickening ([[acanthosis]] and [[hyperkeratosis]]) adjacent to ulcer - [[pseudoepitheliomatous hyperplasia]].<ref name=pmid21399447>{{Cite journal \| last1 = Zayour \| first1 = M. \| last2 = Lazova \| first2 = R. \| title = Pseudoepitheliomatous hyperplasia: a review. \| journal = Am J Dermatopathol \| volume = 33 \| issue = 2 \| pages = 112-22; quiz 123-6 \| month = Apr \| year = 2011 \| doi = 10.1097/DAD.0b013e3181fcfb47 \| PMID = 21399447 }}</ref>
	*Inflammation - lymphocytes, plasma cells, [[neutrophils]].		*Inflammation - lymphocytes, plasma cells, [[neutrophils]].
	*+/-Abscess formation - clusters of extravascular neutrophils.		*+/-Abscess formation - clusters of extravascular neutrophils.