{"id":850,"date":"2025-06-12T06:55:02","date_gmt":"2025-06-12T06:55:02","guid":{"rendered":"https:\/\/kankarbagh.com\/dorothy\/?p=850"},"modified":"2025-06-12T06:58:31","modified_gmt":"2025-06-12T06:58:31","slug":"55-ulcer","status":"publish","type":"post","link":"https:\/\/kankarbagh.com\/dorothy\/2025\/06\/12\/55-ulcer\/","title":{"rendered":"55. Ulcer"},"content":{"rendered":"<body>\n<iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/sGIh2-NRo9Q?si=qbdGM0cWfBqy2igK\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n\n\n<p><span class='visitors'>4254<\/span>  Unique Visitors<br>\n<span class='page-views'>7054<\/span>  Page-views<\/p>\n\n\n\n<p>Ulcer<br>Definition : A break in the continuity of the covering epithelium of the skin or mucous membrane.<\/p>\n\n\n\n<p>Causes due to molecular death or traumatic removal<\/p>\n\n\n\n<p>PARTS OF ULCER<br>Now what are the parts or ulcer ;<br>there are four parts : Base , floor , edge and margin<br>Base is the surface on which the ulcer rest .<br>Floor is the exposed surface of ulcer .<br>The junction between normal epithelium and ulcer is known as margin .<br>The edge is the area between margin and floor .<br>The base is formed by muscle or bone .<\/p>\n\n\n\n<p>Types of edge :<br>.Sloping edge : seen in healing ulcer .<br>.Punched out edge : seen in arterial ulcer or ishchemic ulcer .<br>.Undermined edge : is a typical feature of tubercular ulcer<br>.Rolled edge : it is seen in basal cell carcinoma , pearly white edges are also seen .<br>.Everted edges : seen in squamous cell carcinoma , indurated base is the characteristic feature of squamous cell carcinoma<\/p>\n\n\n\n<p>CLASSIFICATION OF ULCER<br>Is based on three factors :<br>. etiological classification<br>.clinical classification<br>. Pathological classification<\/p>\n\n\n\n<p>Etiological classification:<\/p>\n\n\n\n<p>Traumatic ulcer , vascular ulcer, neoplastic ulcer , metabolic ulcers , ulcers due to malnutrition.<\/p>\n\n\n\n<p>Clinical classification:<br>Spreading ulcer , healing ulcer , callous ulcer<\/p>\n\n\n\n<p>In spreading ulcer :the surrounding skin is inflamed .<br>Floor is covered by slough .<br>No evidence of granulation tissue<br>Purulent discharge .<\/p>\n\n\n\n<p>In healing ulcer : sorrounding skin is not inflamed<br>Floor is covered with granulation tissue , edges show bluish outline and slight serous discharge<\/p>\n\n\n\n<p>In callous ulcer : we can see pale granulation tissue on the floor and considerable induration at the base , edge and surrounding skin . It shows no tendency towards healing .<\/p>\n\n\n\n<p>Pathological classification:<br>Non specific ulcers<br>Specific ulcers<br>Malignant ulcers<\/p>\n\n\n\n<p>Nonspecific: traumatic ulcers<br>Arterial ulcers due to ischemia like gangrene.<br>Venous ulcer example : vericose ulcer .<br>Neurogenic ulcer or trophic ulcer<br>Ulcer associated with malnutrition.<\/p>\n\n\n\n<p>Specific ulcers : syphilis ulcers , tuberculous ulcer ,fungal ulcers .<\/p>\n\n\n\n<p>Malignant ulcers : these includes : basal cell carcinoma , squamous cell carcinoma , malignant melanoma<\/p>\n\n\n\n<p>TREATMENTS<br>Conservative treatment:<br>.Dressing<br>.treat infections like bacterial , fungal , TB etc .<br>.topical microbial agents can be given<br>. Nutritional support<br>. Control blood glucose<br>. Compression bandage<\/p>\n\n\n\n<p>Surgical treatment :<br>. Sloughectomy<br>. Skin grafting .<\/p>\n\n\n\n<p>COMPLICATIONS OF ULCER<br>.chronic osteomyelitis<br>.malignant change<br>. Septicaemia<\/p>\n\n\n\n<p>This is all about ulcer\u00a0thank\u00a0you\u00a0!<\/p>\n<\/body>","protected":false},"excerpt":{"rendered":"<p>UlcerDefinition : A break in the continuity of the covering epithelium of the skin or mucous membrane. Causes due to molecular death or traumatic removal PARTS OF ULCERNow what are the parts or ulcer ;there are four parts : Base , floor , edge and marginBase is the surface on which the ulcer rest .Floor [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":852,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[318,315,317,314,313,316],"class_list":["post-850","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-surg","tag-everted-edges","tag-punched-out","tag-rolled","tag-sloping-edge","tag-ulcer","tag-undermined"],"_links":{"self":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/850","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/comments?post=850"}],"version-history":[{"count":1,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/850\/revisions"}],"predecessor-version":[{"id":851,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/posts\/850\/revisions\/851"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/media\/852"}],"wp:attachment":[{"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/media?parent=850"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/categories?post=850"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kankarbagh.com\/dorothy\/wp-json\/wp\/v2\/tags?post=850"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}