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A. A neuropathic ulcer is characterized by a punched-out appearance with loss of sensation in the surrounding skin. The foot may be warm to touch, and pulses may be present in the distal pedal arteries. B. An ischemic ulcer is characterized by a gangrenous skin change in the foot or toes. The foot is usually cold to touch with absent pedal pulses. The foot is painful to touch with decreased distal capillary refills. Source: Chapter 23. Arterial Disease, Schwartz's Principles of Surgery, 9e Citation: Brunicardi F, Andersen DK, Billiar TR, Dunn DL, Hunter JG, Matthews JB, Pollock RE. Schwartz's Principles of Surgery, 9e; 2010 Available at: Accessed: October 30, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved
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