Scar/Ulcer/Wound/Sore Assessment - History of presenting illness :: MedEMPIRE

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John Smith Meds reminder

Captopril, 2 times/day Orally 600mg Before food From 22-8-2018 to 30-12-2018

Vaccination

To ppl who’re predisposed to an infc the hospital sends

Next clinic visit

Endocrinology clinic, Dr. Gregory Smith, Massachusetts General Hospital, 7-9–2018, 10:15

New user registered. 5 hours ago

Caleb Flakelar commented on Admin 4 days ago

Carlos Crouch liked Admin 13 days ago

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John Smith Meds reminder

Captopril, 2 times/day Orally 600mg Before food From 22-8-2018 to 30-12-2018

Vaccination

To ppl who’re predisposed to an infc the hospital sends

Next clinic visit

Endocrinology clinic, Dr. Gregory Smith, Massachusetts General Hospital, 7-9–2018, 10:15

New user registered. 5 hours ago

Caleb Flakelar commented on Admin 4 days ago

Carlos Crouch liked Admin 13 days ago

View all
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Scar/Ulcer/Wound/Sore Assessment

Site

Choose Site

Shape

Linear

Round

Oval

Number

Single

Multiple

Size

Small

Large

Surface/Floor/Base

Brown

Gray

Black

Yellow

Blue

Pink

Green

Red

Granulation tissue

Necrotic

Tissue loss

Exposed bone

Exposed tendon

Exposed underlying tissue

Depth

Shallow

Deep

Deep to tendons

Deep to bones

mm

Discharge

Serous

Sanguineous

Serosanguineous

Purulent

Bloody

Scanty

Abundant

Edge/Margin

Sloping

Punched out

Undermined

Rolled

Everted

indolent

Regular

Irregular

Alignment

Transverse

Oblique

Horizontal

Inflammation signs

Redness

Warmth

Tenderness

Swelling

Pain

Painful

Painless

Surrounding skin

Lipodermatosclerosis

Cellulitis

Local pulses

Palpable

Barely palpable

Absent

Local lymph nodes

Normal

Enlarged

Tender

Nontender

Edema

Present

Absent

Healing status

Poorly healing

Healing well

Healed

Pressure ulcer grade

0

I

II

III

IV

Characters

Dry

Wet

Sutured

Not Sutured

Infected

Foul-smelling

History

Patient aware of it

Patient unaware of it

Type

Scar

Ulcer

Wound

Sore

Impression

Traumatic

Pressure

Medical

Surgical

Puncture

Venous

Ischemic

Diabetic

Bed sore

Self-cutting

Infected

Neuropathic

Scars

Chest

Midline sternotomy scar

Left submammary scar

Infraclavicular scar

Left thoracotomy scar

Right thoracotomy scar

Abdomen

Supraumbilical

Infraumbilical

Right subcostal

Left subcostal

Suprapubic

Midline

Paramedian

Transverse

Upper midline

Lower midline

Right inguinal

Left inguinal

Laparotomy

Appendectomy

McBurney

Lanz

Gridiron

Kocher’s

Battle

Rutherfold Morrison

Pfannestiel

Areas

RHC

Rt Flank

Rt iliac F

Rt Groin

Epigastric

Periumbilical

Suprapubic

LHC

Lt Flank

Lt iliac F

Lt Groin

Wounds

Superficial wound

Deep wound

Cut wound

Penetrating wound

Associated with skin loss

Associated with soft tissue loss

Dressed

Undressed

Dry

Oozing

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Areas Site

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RHC

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Thigh

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Knee

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Calf

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Ankle

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Toes

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