Approach To Chronic Leg Ulcers

Question 1

What’s the most common type of chronic lower limb ulcer?

Answer 1

Venous

Question 2

Commonest cause of venous ulcers?

Answer 2

CVI (chronic venous insufficiency)

Question 3

Explain the Fibrin Cuff theory of venous ulcers

Answer 3

Fibrinogen forms a cuff around capillaries, leads to interference with oxygen change and hence ischemia

Question 4

Where are venous ulcers common?

Answer 4

Medial aspect of lower third of the leg

Question 5

Where are ischemic ulcers common?

Answer 5

Toes

Question 6

Conservative Treatment of ulcers

Answer 6

Leg elevation, compression stocking/bandage

Question 7

Minimally invasive treatment of ulcers?

Answer 7

Injection foam scleropathy

Question 8

Where are arterial ulcers common?

Answer 8

Feet, head of the 1st and 5th metatarsals, and lateral aspect of the leg

Question 9

Compare arterial and venous site?

Answer 9

Venous is generally gaiter region, arterial is sites of trauma or pressure areas, like the heel, feet, so on.