Integumentary: Ulcers: Venous

Question 1

Etiology:

Answer 1

Associated with:

• Chronic venous insufficiency
• Valvular incompetence
• Deep vein thrombosis
• Venous hypertension
• Calf muscle pump failure

Question 2

Etiology

Answer 2

• Recurrence is High

- Arterial insufficiency may co-exist

Question 3

Clinical Features: Location

Answer 3

• COMMON OVER MEDIAL MALLEOLUS
• Can occur over lateral malleolus
• Can occur anywhere on lower leg

Question 4

Clinical Features: Pulses

Answer 4

• Normal

Question 5

Clinical Features: Pain

Answer 5

• None

- Aching if in dependent position

Question 6

Clinical Features: Color: Dependent position

Answer 6

• Normal or cyanotic

Question 7

Clinical Features: Color: Hemosiderosis

Answer 7

• Dark pigmentation

- Possible

Question 8

Clinical Features: Color: - Lipslcerosis or Lipodermatosclerosis:

Answer 8

• Thick tender, indurated, fibrosed tissue

Question 9

Clinical Features:Tmeperature

Answer 9

• Normal

Question 10

Clinical Features: Edema

Answer 10

• Present

- Often Marked

Question 11

Clinical Features: Skin changes

Answer 11

• Pigmentation
• Stasis
• Dermatitis
• Thickening of skin
• Scarring
• Atrophie blanche lesions (white plaques with hemosiderin borders) in about a Hird of those with significant LE valvular incompetence

Question 12

Clinical Features: Ulceration

Answer 12

• May develop
• Typically medial ankle
• Wet
• Large amount of exudate

Question 13

Clinical Features: Gangrene

Answer 13

• Absent