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Diagnostic Tests for Healing symptoms

Diagnostic Test list for Healing symptoms:

The list of diagnostic tests mentioned in various sources as used in the diagnosis of Healing symptoms includes:

  • Physical examination of the skin that has impaired healing
    • Site of ulcer - e.g. venous ulcers are usually found on the inner side of the lower third of the leg, but may occur lower down on the foot; arterial ulcers are found on the tips of the toes and over pressure areas; neuropathic ulcers occur over pressure areas.
    • Edge of the ulcer - e.g. the edge of a venous ulcer is usually sloping and pale purplish-blue in color; malignant change in a chronic venous ulcer causes a raised and thickened edge; syphilitic ulcer has a punched out edge; tuberculous ulcer has an undermined edge.
    • Base - e.g. venous ulcer is usually covered by granulation tissue ( area of new vessel growth) and white fibrous tissue; arterial ulcers usually have no granulation tissue; syphilitic ulcers have a base that looks like leather.
    • Depth of ulcer - e.g. venous ulcers are usually shallow and flat; arterial ulcers are often very deep and may penetrate down to bone and underlying joints; neuropathic ulcers are usually deep penetrating ulcers.
    • Note amount and type of discharge from the ulcer or wound - e.g. clear, bloody, pus-like, offensive, copious , slight - if wound or ulcer is infected the healing will be impaired.
  • Physical examination
    • Examine the whole leg for varicose veins (which may suggest venous ulceration as the cause of foot ulcer or wound)
    • Examine lower leg for signs of chronic venous hypertension which indicates the presence of disordered venous blood flow - e.g. pigmentation, warmth, redness and tenderness.
    • Examine the lower leg for signs of peripheral vascular disease which may indicate an the cause of the ulcer or poor wound healing is due to an inadequate blood supply - e.g. skin pallor, coldness and lack of hair.
    • Examine the lower leg for signs of peripheral neuropathy - e.g. lack of sensation over the surrounding skin.
    • Palpate the peripheral pulses in the leg. If pulses are absent may indicate that the ulcer or poor skin healing is due to inadequate arterial blood supply
    • Examine the local lymph nodes for enlargement which may indicate infection of the wound or ulcer or malignant change in the ulcer
    • Examine for signs of Cushing's syndrome? - e.g. thin skin, bruising, high blood pressure, stretch marks, proximal muscle weakness, acne, pigmentation, excess hair on face, frontal balding in males, moon face, buffalo hump, truncal obesity, fluid retention.
  • Blood tests
    • Full blood count (anemia may cause poor wound healing)
    • Electrolytes and renal function
    • Liver function tests
    • Blood sugar to rule out diabetes
    • HIV serology, if indicated
  • Urine tests
    • Urinalysis looking for glucose that may suggest diabetes
    • 24 hour Urinary free cortisol measurement
  • Swab of any discharge from the ulcer or wound if present - to detect possible infection that may be impairing healing.
  • Skin biopsy around the edge of the ulcer or wound - if suspect cancer which may be impairing healing.
  • Ankle brachial index - a quick screening test for peripheral vascular disease.
  • Radiological investigations
    • Doppler ultrasound scan can help define the severity of peripheral vascular disease
    • Arteriography can define the site and degree of arterial obstruction in peripheral vascular disease

Home Diagnostic Testing

These home medical tests may be relevant to Healing symptoms causes:

Conditions listing medical symptoms: Healing symptoms:

The following list of conditions have 'Healing symptoms' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Healing symptoms or choose View All.

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Conditions listing medical complications: Healing symptoms:

The following list of medical conditions have 'Healing symptoms' or similar listed as a medical complication in our database.

 

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