Surgery Book

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Pressure Ulcer Stage

Aka: Pressure Ulcer Stage, Decubitus Ulcer Stage, Stage 1 Pressure Ulcer, Stage 2 Pressure Ulcer, Stage 3 Pressure Ulcer, Stage 4 Pressure Ulcer, Decubitus Ulcer Grade, Pressure Ulcer Grade, Pressure Sore Grade
  1. Precautions
    1. Accurate grading requires debridement of necrosis first
    2. Use other grading schemes for staging of Diabetic Foot Ulcers and Venous Stasis Ulcers
    3. Macerated skin (moisture induced wounds) are not staged
  2. Staging: NPUAP Guidelines for Pressure Ulcers (pink skin, not purple)
    1. Stage 1
      1. Nonblanchable erythema of intact skin
    2. Stage 2
      1. Superficial or partial thickness skin loss
      2. No slough or eschar
      3. Ulcer involves Epidermis or Dermis
        1. Skin Abrasion
        2. Blister
      4. Distinguish from other type of skin breakdown (Skin Tears, maceration or erosion)
    3. Stage 3
      1. Full thickness skin loss with subcutaneous damage
      2. Ulcer extends down to underlying fascia
      3. Presents as deep crater
    4. Stage 4
      1. Full thickness skin loss with extensive destruction
      2. Tissue necrosis
      3. Damage to muscle, bone, tendon or joint capsule
    5. Additional stages in which depth is unknown
      1. Depth Unknown - Unstageable
        1. Full-thickness wound with base obscured by extensive slough or eschar
      2. Depth Unknown - Suspected Deep
        1. Intact skin with localized purple or maroon discoloration (or bulla with blood)
        2. Deep tissue injury suspected beneath overlying lesion
  3. Resources
    1. NPUAP Illustrations
      1. http://www.npuap.org/resources/educational-and-clinical-resources/pressure-ulcer-categorystaging-illustrations/

Pressure ulcer stage (C1718233)

Concepts Qualitative Concept (T080)
ICD9 707.2
SnomedCT 420592002
LNC MTHU020927
English Pressure ulcer stage (observable entity), Pressure ulcer stages, Pressure ulcer stage, chronic decubitus ulcer stage, Pressure ulcer stage (diagnosis)
Spanish estadio de úlcera por decúbito (entidad observable), estadio de úlcera por decúbito, estadio de escara
Sources
Derived from the NIH UMLS (Unified Medical Language System)


stage I pressure ulcer (C2074666)

Concepts Disease or Syndrome (T047)
ICD9 707.21
English Pressure ulcer, stage I, stage I decubitus ulcer, stage I pressure ulcer, stage I pressure ulcer (diagnosis)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


stage II pressure ulcer (C2074667)

Concepts Disease or Syndrome (T047)
ICD9 707.22
English Pressure ulcer, stage II, stage II pressure ulcer, stage II decubitus ulcer, stage II pressure ulcer (diagnosis)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


stage III pressure ulcer (C2074668)

Concepts Disease or Syndrome (T047)
ICD9 707.23
English Pressure ulcer,stage III, Pressure ulcer, stage III, stage III pressure ulcer, stage III decubitus ulcer, stage III pressure ulcer (diagnosis)
Sources
Derived from the NIH UMLS (Unified Medical Language System)


stage IV pressure ulcer (C2074669)

Concepts Disease or Syndrome (T047)
ICD9 707.24
English Pressure ulcer, stage IV, stage IV pressure ulcer, stage IV pressure ulcer (diagnosis), stage IV decubitus ulcer
Sources
Derived from the NIH UMLS (Unified Medical Language System)


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