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Thread: I this a stage 1 pressure sore

  1. #1

    I this a stage 1 pressure sore

    see picture
    gp says it's a stage 1, i've never had a stage 1 like this.
    1. gp says wash and use lotion 3 times daily.
    2. internet article states keep the area clean and dry.

    so 1 or 2?
    btw i do my bm on my left side, my right side just doesn't get any pressure on it.
    so i don't get it. this sore popped up in one day.
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    Wish I didn't know now what I didn't know then.
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  2. #2
    Senior Member
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    Sorry to see that. I have no advice but would prefer an infectious disease person's opinion over my GP. It looks awful.

  3. #3
    The National Pressure Ulcer Advisory Panel (NPUAP)https://www.npuap.org/national-pressure-ulcer-advisory-panel-npuap-announces-a-change-in-terminology-from-pressure-ulcer-to-pressure-injury-and-updates-the-stages-of-pressure-injury/

    "Deep Tissue Pressure Injury: Persistent non-blanchable deep red, maroon or purple discoloration
    Intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon, purple discoloration or epidermal separation revealing a dark wound bed or blood filled blister. Pain and temperature change often precede skin color changes. Discoloration may appear differently in darkly pigmented skin. This injury results from intense and/or prolonged pressure and shear forces at the bone-muscle interface. The wound may evolve rapidly to reveal the actual extent of tissue injury, or may resolve without tissue loss. If necrotic tissue, subcutaneous tissue, granulation tissue, fascia, muscle or other underlying structures are visible, this indicates a full thickness pressure injury (Unstageable, Stage 3 or Stage 4). Do not use DTPI to describe vascular, traumatic, neuropathic, or dermatologic conditions."


    Suggest getting to a wound care clinic immediately.

  4. #4
    Doesn't look like a pressure injury to me. Does it feel hot? Are you running a temperature? Did he do any lab work (like a WBC)? It looks much more like a burn, or even cellulitus. By definition, a pressure injury is over a weight-bearing bony prominence. That would not be the case for a problem like this which covers your abdomen, and does not look at all like pressure injuries that can occur over the ribs (rarely). Is the area larger/redder today? If so, I would get to an emergency room and ask to be evaluated for cellulitis.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  5. #5
    Quote Originally Posted by SCI-Nurse View Post
    Doesn't look like a pressure injury to me. Does it feel hot? Are you running a temperature? Did he do any lab work (like a WBC)? It looks much more like a burn, or even cellulitus. By definition, a pressure injury is over a weight-bearing bony prominence. That would not be the case for a problem like this which covers your abdomen, and does not look at all like pressure injuries that can occur over the ribs (rarely). Is the area larger/redder today? If so, I would get to an emergency room and ask to be evaluated for cellulitis.

    (KLD)
    On second look, it does appear that you can see involvement of his thigh and that would indicate it is spreading, supporting your speculation of cellulitis. As I understand cellulitis, it is most usually caused by streptococcus or staphylococcus bacteria, entering through a crack or break in the skin. Most commonly cellulitis occurs in areas of the body that suffer edema, like the legs, although it surely can occur wherever there is some kind of skin break down and bacteria.

    "Tvot," have you fallen out of bed or your chair recently or lost your balance and injured your skin by falling over the arm of your wheelchair?

  6. #6
    Quote Originally Posted by SCI-Nurse View Post
    Doesn't look like a pressure injury to me. Does it feel hot? Are you running a temperature? Did he do any lab work (like a WBC)? It looks much more like a burn, or even cellulitus. By definition, a pressure injury is over a weight-bearing bony prominence. That would not be the case for a problem like this which covers your abdomen, and does not look at all like pressure injuries that can occur over the ribs (rarely). Is the area larger/redder today? If so, I would get to an emergency room and ask to be evaluated for cellulitis.

    (KLD)
    I agree. I'm going to the ER tomorrow. The last time this happened it was on my back. It was from being 320mg aspirin. I was told to go back to 81mg, that was in July.
    Also what the hell is this. (picture) they said PS also. I keep calfs on pillows ! BTW no chills or temp. Just livid. This new new GP is history.
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    Last edited by tvot; 03-23-2019 at 08:07 PM.
    Wish I didn't know now what I didn't know then.
    Bob Seger

  7. #7
    Quote Originally Posted by tvot View Post
    I agree. I'm going to the ER tomorrow. The last time this happened it was on my back. It was from being 320mg aspirin. I was told to go back to 81mg, that was in July.
    Also what the hell is this. (picture) they said PS also. I keep calfs on pillows ! BTW no chills or temp. Just livid. This new new GP is history.
    Who is "they" that said "Pressure Sore?" How was the issue in July treated? I don't see the spreading redness in the July picture.

    No fever, no chills...does the area on your right trunk side feel warm?
    Last edited by gjnl; 03-24-2019 at 10:39 AM.

  8. #8
    Is that arrow pointing to your ankle, or your heel (as labeled)? To me, it looks like it could be a venous ulcer, which can occur in edematous lower extremities which have insufficient venous outflow. It should be evaluated by a wound care specialist and possibly a vascular surgeon. It is not a pressure injury.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

  9. #9
    Quote Originally Posted by gjnl View Post
    Who is "they" that said "Pressure Sore?" How was the issue in July treated? I don't see the spreading redness in the July picture.
    Last July my cardiologist put me on a dose of 320 bear aspirin. Within 2 weeks what you see in that picture is quite similar to what's on me side, only it was on my back. I was put back on 81mg with no problems.
    One finally thought. My new gp of a year is history. The gp I had since 77 canned me cuz I hadn't seen him in 5 years. Well boohoo Dr. Becker.
    Going to wound center tomorrow and I will lie that gp moron set up the appointment.
    I was so much easier years ago. I seriously believe there's to many pot smokers messing up everything, why are these receptionist out to lunch.
    I'm really tired.
    Wish I didn't know now what I didn't know then.
    Bob Seger

  10. #10
    Senior Member smokey's Avatar
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    Looks like a burn to me. Hot water from your shower?

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