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  • Tissue type

    Yellow slough and brown necrotic tissue

  • Exudate

    Medium, clear fluid

  • Infection

    No signs of infection

  • Maceration

    Some maceration seen at wound edge, may be due to exudate collecting under dressing

  • Dehydration

    No

  • Undermining

    No

  • Rolled edges

    No

  • Maceration

    Red periwound skin indicates local pressure damage and irritation due to exudate

    Possibly due to the dressing not being able to absorb all the wound exudate

  • Excoriation

    No. However, there are blisters on the periwound skin above the wound

  • Dry skin

    No

  • Hyperkeratosis

    No

  • Callus

    No

  • Eczema

    No

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