Leg ulceration Flashcards
1
Q
features of venous ulceration?
A
haemosiderin deposits
lipodermatosclerosis
venous dermatitis
varicose veins
2
Q
what diseases can cause pyoderma gangrenosum
A
rheumatoid arthritis
UC/chrons
3
Q
what disease causes necrobiosis lipodica
A
diabetes
4
Q
abpi of _ is normal?
A
1
5
Q
what ABPI is compressable
A
1.3-0.8, 0.8-0.6 is debatable so use light pressure
6
Q
when would you swab for ulcer
A
increased pain, exudate, getting bigger, odour
7
Q
ways of debridement?
A
autolytic
sharp debridement
surgery
biological larvae
8
Q
management of ulcer?
A
control pain monitor ABPI non-adherent dressing de-sloughing 4 layer compression if applicable
9
Q
treatment target for 4 layer compression
A
12 weeks
10
Q
how often do you change 4 layer bandage and how much pressure applied
A
40mmHg
weekly or as required if infected