Diabetes mellitus ulcers usually occur at areas of increased pressure (sole of<unk>  or friction
Venous ulcers usually present above malleoli with irregular borders
Arterial ulcers usually found on the toes or shins, with pale, "punched-out" borders (typically painful)
Often history of minor/unnoticed trauma such as ill-fitting<unk> wear
Note hair and nail growth, determine vascular status (palpate DP, PT, and popliteal pulse)
Probe ulceration site, note involvement of bone, joint, tendon, or sinus tract formation
Often more extensive than initially appear
Use sterile probe, if hit bone chance of OM 90% higher
+/- systemic symptoms (e.g. fever, malaise)
50% or more of patients with SEVERE<unk> s will have no systemic signs and symptoms of<unk>  (i.e. fever, tachycardia, leukocytosis, left shift)
Venous ulcers usually present above malleoli with irregular borders
Arterial ulcers usually found on the toes or shins, with pale, "punched-out" borders (typically painful)
Often more extensive than initially appear
Use sterile probe, if hit bone chance of OM 90% higher
Diabetes mellitus<unk>  ulcer<unk>  presumed if:
2 or more of following: erythema, warmth, tenderness, or swelling
OR if pus coming from ulcer site or nearby sinus tract
Severe diabetes mellitus<unk><unk>  if:
Abnormal vital signs
Rim of erythema surrounding ulcer or ulcer >2 cm in diameter
Lymphangitic streaking or signs of fasciitis (crepitus, skip lesions, severe tenderness, bullae), or if probe reaches bone/joint/tendon
2 or more of following: erythema, warmth, tenderness, or swelling
OR if pus coming from ulcer site or nearby sinus tract
Abnormal vital signs
Rim of erythema surrounding ulcer or ulcer >2 cm in diameter
Lymphangitic streaking or signs of fasciitis (crepitus, skip lesions, severe tenderness, bullae), or if probe reaches bone/joint/tendon
Diabetic foot infection
Cellulitis
Venous gangrene
Gangrene
Wet gangrene
Dry gangrene
Necrotizing cellulitis
Trench foot