infection and pressure relief. Other
aetiologies will be just to confuse
you. I don't think you will get any clinical
scenario on these, but these might be some
of the options. Pressure ulcers, you need
to know because they are so common these days.
You need to have a good idea of pressure ulcers.
Okay this is a very good exam clue. Edges or
margins of the ulcer. This is exactly the
word they give you. Okay, I'm sure you know
this. Squamous cell carcinoma, raised and
everted. Basal cell, raised and rolled out.
Tuberculous ulcers, overhanging and undermined.
Punched out is trophic. And healing ulcer
is sloping edge. You also get in venous ulcer.
Where else will you get this?
Where else will you get overhanging
or undermined edges? In any ulcer which involves
more destruction of the subcutaneous tissue
rather than the skin, so the skin is not destroyed,
the subcutaneous tissue is getting destroyed. So you'll
get in something like pyoderma gangrenosum,
in rheumatoid disease, SLE. Ao autoimmune
diseases, where you have the infection going
under the subcutaneous plane. So if you
get a history of these raised and
rolled, they would never ask you anything
apart from BCC. It’s always classical BCC.
You don't even have to think. Raised and rolled,
go for BCC, nothing else. No, nothing
else. And raised and everted, SCC,
In the exam if you are getting a history
along these lines, go for venous.