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Medical diagnosis

Discussion in 'Spot Diagnosis' started by Egyptian Doctor, Jan 31, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    What is your medical diagnosis for this case ?

    medical diagnosisss.jpg
     

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  2. kittychan

    kittychan Well-Known Member

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    Arterial insufficiency ulcer?
     

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  3. neo_star

    neo_star Moderator

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    I agree with Kittychan, this could be arterial insufficiency ulcer and it looks almost exactly like a pressure / trophic ulcer of diabetes i.e punched out look.

    Pressure or trophic ulcers are classically found on the pressure points, but the best way to differentiate between the two is pain. Arterial ulcer is painful ( unless the nerves are also damaged ) and pressure or trophic ulcers being secondary to lack of sensation are mostly painless.

    Lack of granulation tissue at the base is common to both.
     

  4. Emergency medicine Mike

    Emergency medicine Mike Bronze Member

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    Arterial insufficiency ulcer.
     

  5. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

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    Answer : Ischemic Ulcer
     

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