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Stage I
Intact skin with no blanchable redness
Stage II
Partial thickness loss of dermis
Shallow open ulcer without slough
Stage III
Full thickness tissue loss
Subcutaneous tissue may be visible, but no bone tendon or muscle is observed
Slough may be present but does not obscure depth of tissue
Stage IV
Full thickness tissue loss with exposed bone, tendon, or muscle
Slough or eschar may be present