Arterial/Venous ulcers

Question 1

Venous Ulcer Mx

Answer 1

1. Wound cleaning/dressing
2. Compression therapy (To reduce venous HTN)

Question 2

Venous ulcer Sx

Answer 2

1. Occur in gaiter area (lower shin)
2. Large/shallow
3. Bleed or ooze
4. Assoc w/ venous inssuficiency

Question 3

Arterial ulcer Sx

Answer 3

1. Occur distally
2. Small/deep
3. Clear punch out margin
4. DO NOT bleed/ooze
5. Assoc w/ weak distal pulses (peripheral arterial disease)

Question 4

Arterial ulcer conservative Mx

Answer 4

1. Wound care
2. Lifestyle changes: Be active, Keep hydrated, healthy diet

Question 5

Arterial ulcer medication Mx

Answer 5

Antiplatelet: Aspirin or clopidogrel

Question 6

Arterial ulcer surgical Mx

Answer 6

Angioplasty or bypass

Question 7

Why is compression therapy containdicated in arterial ulcer?

Answer 7

Compression can worsen ischaemia

Question 8

Aterial/Venous ulcer Ix

Answer 8

1. Doppler US
2. Ankle-Brachial Pressure Index (ABPI)

Question 9

Normal ABPI range

Answer 9

0.9-1.30

Question 10

Low ABPI range

Answer 10

< 0.9
Reduced blood flow due to PAD

Peripheral Arterial Disease

indicate presence of arterial ulcer

Question 11

High ABPI range

Answer 11

1.3>
non-compressible arteries due to calcification

Question 12

What is Arterial ulcer?

Answer 12

AKA ischaemic ulcer
open sores that develop due to insufficient blood supply

Question 13

What is Venous ulcer?

Answer 13

open sore arise from inffucienet venous return from the lower limbs