Characteristics of Lower Extremity Ulcers Flashcards
Location of Arterial ulcers
Lower 1/3 of leg
Toes
Dorsal foot
Lateral Malleolus***
Appearance of Atertial ulcers
Well-defined
Smooth edges
Lacks granulation tissue
Tends to be deep
Amount of exudate with Arterial Ulcers
Minimal
Pain with Arterial Ulcers
Severe
Pedal Pulses with Arterial Ulcers: absent or present?
Diminished/absent
Edema with Arterial Ulcers
Normal
Skin Temperature with Arterial Ulcers
Decreased
Tissue changes with Arterial Ulcers
Thin and shiny skin
Hair loss***
Yellow nails
Leg Elevation increases or decreases pain with arterial ulcers?
Leg elevation increases pain
Location of Venous insufficiency ulcers
Medial Malleolus***
Appearance of Venous Ulcers
Irregular shape**
Shallow
Amount of exudate with Venous Ulcers
Moderate/heavy
Pain with Venous Ulcers
Mild-moderate
Are pedal pulses present or absent in venous ulcers?
Normal
Edema with venous ulcers
Increased
Skin temperature with venous ulcers
Normal
Tissue changes wiht venous ulcers
Dry flaky skin
Brownish discoloration***
Leg elevation increases or decreases pain with leg elevation?
Elevation decreases pain
Location of Neuropathic Ulcers
Areas of foot susceptible to pressure or sheer forces during WB
Appearance of Nueropathic Ulcers
Well-defined oval/circle
Calluused rim
Cracked periwound tissue
little to no wound bed necrosis with good granulation
Amount of exudate with Neuropathic ulcers
Low-moderate
Pain with neuropathic ulcers
None, but may experience dysesthesia
Pedal pulses absent or present with neuropathic ulcers?
Diminished or absent; unreliable ABI with DM
Edema with neuropathic ulcers
Normal
Skin Temperature with neuropathic ulcers
Decreased
Tissue changes with neuropathic ulcers
Dry, inelastic, shiny skin
Decreased or absent sweat and oil production**
What happens specifically with neuropathic ulcers?
Loss of protective sensation
