Members' NAVLE study guide

Feline Decubitus (Pressure) Ulcers

1,325 words 6 min read Reviewed November 13, 2026

A decubitus ulcer, also called a pressure sore, is tissue death caused by prolonged pressure over a bony prominence. In cats it follows paralysis, long anesthesia, severe weakness or an ill-fitting splint or cast. The wound looks small on the surface and is often deeper underneath, so prevention is worth more than treatment.

Key facts

Decubitus ulcer at a glance
  • Species and system: cat; integumentary (skin, subcutis and sometimes muscle).
  • Cause: pressure-induced necrosis, made worse by shear, friction, moisture and poor nutrition (MSD).
  • Classic presentation: a recumbent cat with hair loss, redness or a shallow ulcer over a bony point such as the hip, shoulder, elbow or hock.
  • Predisposing causes: paraplegia, tetraplegia, improper coaptation (casts, splints), immobility (MSD).
  • Key principle: prevent with padding, frequent repositioning, clean dry skin and good nutrition.
  • Zoonotic or reportable: no.

What's inside

12 sections in the full guide
  1. Key facts
  2. How the NAVLE tests this
  3. Cause and pathophysiology
  4. Clinical signs
  5. Diagnosis
  6. Treatment and management
  7. Prevention, control and public health
  8. Nursing the recumbent cat
  9. Prognosis
  10. Quick review
  11. Test yourself
  12. References
The full guide also has 3 tables, 3 self-test questions and 3 references, available to NAVLE members.

Read the full study guide

The full guide is part of every NAVLE plan, with diagnosis and treatment tables, figures, a quick review and self-test questions. Start a free trial to try the question bank, or log in if you are already a member.

Read the free overview article A shorter, free article on Decubitus ulcer on the NavleExam blog.

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Feline · Integumentary