Leg ulcer

Question 1

Arterial leg ulcers are more common (T/F)

Answer 1

False

-venous ulcers are more common, 60-80%

Question 2

Compression is used to treat _____ leg ulcers.

Answer 2

venous

Question 3

What is the treatment for arterial vascular disease of the legs?

Answer 3

angioplasty

Question 4

Mixed venous/arterial ulcers should be treated with compression (T/F)

Answer 4

False.

-treat arterial vascular disease first, then apply compression

Question 5

Venous leg ulcers tend to occur in the ____ area

Answer 5

gaiter

-from ankle up

Question 6

Where do arterial ulcers tend to occur?

Answer 6

Areas of higher pressure, such as the foot

Question 7

What is vasculitis? How does it present?

Answer 7

Inflammation of blood vessels..

Sudden onset of pain, and purpuric rash with necrosis.

Question 8

ABPI (ankle brachial pressure index) lower than 1 is indicative of…

Answer 8

arterial vascular disease

Question 9

What investigations would you use in ulcer diagnosis?

Answer 9

• ABPI: is it arterial?
• Wound swab: if it looks infected
• Bloods (FBC, LFTs, U+Es, CRP)
• Patch testing: to bandages, dressings, creams
• Duplex: arterial disease?

Question 10

What’s your treatment strategy for a leg ulcer if the ABPI is 0.8-1.3?

Answer 10

compression