Ulcers Flashcards
What is an ulcer
Loss of continuity of an epithelium , internal or external , follows gradual cell by cell death. Of constituent cells
Classifications of ulcers
Specific
Non specific
Neoplastixc
Types of specific ulcers
Tuberculous
Buruli
Syphilitic
Yaws treponema pertenue
Mycobacterium leprae
Types of non specific ulcer
Traumatic
Pyogenic
Vascular origins ( venous, arterial, decubitus , pressure )
Neurotrophic ( leprosy, diabetic neuropathy , cord lesions, peripheral neuropathies , syringomyelia)
Metabolic of systemic dx ( diabetic ulcers, Hemoglobinopathies ulcers , spherocytosis ulcers, UC ulcers )
Types of neoplastic ulcers
Squamous cell carcinoma
Rodent ulcer
Malignant melanoma
Kaposi sarcoma
Penetrating malignant tumor
Features of ulcer
Edge
Floor - what is seen
Base - what is palpated
Types of edges of ulcers
sloping in non specific ulcer
undermind in tuberculous
raised in malignant
punched out in syphilitic )