Integumentary: Ulcer: Arterial

Question 1

Etiology

Answer 1

• Chronic arterial insufficiency
• Arteriosclerosis Obliterans
• Thromboangiitis Obliterans
• Atheroembolism

Question 2

Etiology

Answer 2

• History of minor non healing trauma

Question 3

Clinical Features: Location

Answer 3

• Common on:
• Small toes
• Feet
• Bony areas of trauma

Question 4

Clinical Features: Preceding Factors

Answer 4

• Signs and symptoms of arterial insufficiency.

- Intermittent claudication

Question 5

Clinical Features: Pulses

Answer 5

• Poor or absent

Question 6

Clinical Features: Pain

Answer 6

• Often severe
• Intermittent
• Progressing to pain at rest
• Exacerbated with limb elevation

Question 7

Clinical Features: Color

Answer 7

• Pale or cyanotic
• Pale on elevation
• Dusky rubor on dependency

Question 8

Clinical Features: Temperature

Answer 8

• Cool

Question 9

Clinical Features: Skin Changes

Answer 9

• Trophic changes
• Loss of hair on foot and toes
• Nails Thickened

Question 10

Clinical Features: Ulceration

Answer 10

• Toes or feet

- Can be deep

Question 11

Clinical Features: Gangrene

Answer 11

• Black gangrenous skin adjacent to ulcer can develop