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He picture of tounge ulcer died one month after being admitted to the facility, likely from dehydration or pneumonia. Com, EmbodyHealth, Reliable tools for healthier lives, Enhance your life, and the triple-shield Mayo Clinic logo are trademarks of Mayo Foundation for Medical Education and Research. Necrotic lesion associated with prominent tissue destruction, due to secondary bacterial invasion of an existing cutaneous lesion or of intact skin in person with impaired resistance as the result of systemic disease. Stress and spicy foods do not cause ulcers, but can make them worse. Holly Lightner, former Licensed Vocational Nurse at KVHD from 1999 through mid 2007, told investigators that Hughes ruled the nurses with an fist and created an extremely hostile work environment for the nurses. The obvious thing is trying to figure out how these people ever get put in charge of anything.