Leg Ulcer

Question 1

Mention 7 causes of leg ulcer?

Answer 1

1- Arterial insufficency 
2- venous insufficency 
3- nueropathic 
4-neoplastic 
5- infection
6- traumatic 
7- vasculitis

Question 2

What are the charceterstic of venous ulcer? Comment in the edge, floor, location, surrounded skin, pulse and nuerological

Answer 2

1- slobing edge
2- granulation tissues with exudate and slough
3- commonly in gaiter area ( medial leg between calf and ankle , above medial mallolus)
4- surrounded by pigmentation , LDS
5- with or without carcose veins
6- normal pulse and nuerological function

Question 3

What does the mailignangcy ulcer that can be assosited with chronic venous ulcer? 
A- Marojlin ulcer
B- lantus ulcer 
C- rafili ulcer 
D- ponny ulcer 

What type of cell otginate from , how would you recognize it , what will be your next action

Answer 3

A- marjollin ulcer

• Sequmous cell
• Irrgular base, everted edge , elvation
• Biopsy

Question 4

45 years old presented with new leg ulcer , what would you do for investigation?

Answer 4

• CBC
• ESR, CRP
• blood gluacose
• sicle cell test
• antibodes if rhuamyology cause susbected

Question 5

Patient showed to have venous ulcer, how would manage such condition? What are the precussion you would do before the start of the treatment

Answer 5

1- Multilayer compression , do ABI if <0.5 or ankle pressure <60 do revasculazation before

Other option
2- superfical endovenous ablation
3- Pentoxyfilian

If cellulitis add abx, if nectrotic add depridement