Characteristics of Lower Extremity Ulcers

Question 1

Location of Arterial ulcers

Answer 1

Lower 1/3 of leg
Toes
Dorsal foot
Lateral Malleolus***

Question 2

Appearance of Atertial ulcers

Answer 2

Well-defined
Smooth edges
Lacks granulation tissue
Tends to be deep

Question 3

Amount of exudate with Arterial Ulcers

Answer 3

Minimal

Question 4

Pain with Arterial Ulcers

Answer 4

Severe

Question 5

Pedal Pulses with Arterial Ulcers: absent or present?

Answer 5

Diminished/absent

Question 6

Edema with Arterial Ulcers

Answer 6

Normal

Question 7

Skin Temperature with Arterial Ulcers

Answer 7

Decreased

Question 8

Tissue changes with Arterial Ulcers

Answer 8

Thin and shiny skin
Hair loss***
Yellow nails

Question 9

Leg Elevation increases or decreases pain with arterial ulcers?

Answer 9

Leg elevation increases pain

Question 10

Location of Venous insufficiency ulcers

Answer 10

Medial Malleolus***

Question 11

Appearance of Venous Ulcers

Answer 11

Irregular shape**

Shallow

Question 12

Amount of exudate with Venous Ulcers

Answer 12

Moderate/heavy

Question 13

Pain with Venous Ulcers

Answer 13

Mild-moderate

Question 14

Are pedal pulses present or absent in venous ulcers?

Answer 14

Normal

Question 15

Edema with venous ulcers

Answer 15

Increased

Question 16

Skin temperature with venous ulcers

Answer 16

Normal

Question 17

Tissue changes wiht venous ulcers

Answer 17

Dry flaky skin

Brownish discoloration***

Question 18

Leg elevation increases or decreases pain with leg elevation?

Answer 18

Elevation decreases pain

Question 19

Location of Neuropathic Ulcers

Answer 19

Areas of foot susceptible to pressure or sheer forces during WB

Question 20

Appearance of Nueropathic Ulcers

Answer 20

Well-defined oval/circle
Calluused rim
Cracked periwound tissue
little to no wound bed necrosis with good granulation

Question 21

Amount of exudate with Neuropathic ulcers

Answer 21

Low-moderate

Question 22

Pain with neuropathic ulcers

Answer 22

None, but may experience dysesthesia

Question 23

Pedal pulses absent or present with neuropathic ulcers?

Answer 23

Diminished or absent; unreliable ABI with DM

Question 24

Edema with neuropathic ulcers

Answer 24

Normal

Question 25

Skin Temperature with neuropathic ulcers

Answer 25

Decreased

Question 26

Tissue changes with neuropathic ulcers

Answer 26

Dry, inelastic, shiny skin

Decreased or absent sweat and oil production**

Question 27

What happens specifically with neuropathic ulcers?

Answer 27

Loss of protective sensation