A comprehensive clinical examination is the basis for selecting further diagnostic steps:
- General physical examination – including blood pressure, pulse, body weight, height; further:
- Inspection (viewing) of the skin
- [Leading symptom: wound or ulcer (ulcer) (existing > 3 months)]
- [Associated symptoms: Hyperpigmentation, eczema, dermatosclerosis (hardened, atrophic skin), atrophie blanche (whitish discoloration of the skin, often painful)]
- Inspection (viewing) of the skin
- Dermatological examination [due todifferential diagnoses:
- Decubital ulcers (pressure ulcers) during immobilization.
- Ulcus cruris venosum (lower leg ulcer caused by venous insufficiency)]
[due toPossible sequelae: Hypodermitis (subcutaneous inflammation), recurrent leg ulcer, recurrent wounds (unspecified)]
- Health check
Square brackets [ ] indicate possible pathological (pathological) physical findings.