Circulatory disorders

Question 1

Decubitus ulcers- Eti

Answer 1

3-30% hospitalized patients. Bony promininaces. Immobility is biggest risk factor

Question 2

Decubitus ulcers- Stages

Answer 2

Stage 1: Nonblanching erythema
Stage 2: Necrosis involving epidermis or dermis
Stage 3: Deep necrosis, crater form ulcer, full thickness skin loss
Stage 4: Full thickness necrosis including supporting structures
Eschar or slough indicates unstageable

Question 3

Decubitus ulcers- - Sx

Answer 3

Ulcerations over bony prominence. Constitutional symptoms

Question 4

Decubitus ulcers- - Tx

Answer 4

Prophylaxis,
Stage 1 & 2: topical abx,
Stage 3 & 4: surgical management

Question 5

Stasis Dermatitis-Eti

Answer 5

SE of chronic venous insufficiency. Anterior shins, calves, feet and ankles most common

Question 6

Stasis Dermatitis- Sx

Answer 6

Red to brown hyper pigmented macules and patches with pedal edema. May lead to ulceration.

Question 7

Stasis Dermatitis– Tx

Answer 7

Prevent: compression stockings, elevation . Short term topical glucocorticods