Leg ulceration Flashcards

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1
Q

features of venous ulceration?

A

haemosiderin deposits
lipodermatosclerosis
venous dermatitis
varicose veins

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2
Q

what diseases can cause pyoderma gangrenosum

A

rheumatoid arthritis

UC/chrons

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3
Q

what disease causes necrobiosis lipodica

A

diabetes

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4
Q

abpi of _ is normal?

A

1

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5
Q

what ABPI is compressable

A

1.3-0.8, 0.8-0.6 is debatable so use light pressure

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6
Q

when would you swab for ulcer

A

increased pain, exudate, getting bigger, odour

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7
Q

ways of debridement?

A

autolytic
sharp debridement
surgery
biological larvae

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8
Q

management of ulcer?

A
control pain 
monitor ABPI
non-adherent dressing
de-sloughing 
4 layer compression if applicable
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9
Q

treatment target for 4 layer compression

A

12 weeks

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10
Q

how often do you change 4 layer bandage and how much pressure applied

A

40mmHg

weekly or as required if infected

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