Leg ulcers Flashcards
1
Q
what is a chronic leg ulcer?
A
an open lesion between the knee and ankle joint that remains unhealed for atleast 4 weeks
2
Q
risk factors for leg ulcer?
A
- increase in age
- diabetic
- arterial disease
- rhematoid arthritis
3
Q
what are some investigations for leg ulceration?
A
ABPRI- to tell if there is arterial disease
Wound swab- only if ulcer increasingly painful/exudate/maldour/enlarging
Bloods
Patch test- for ulcer treatment (bandages, creams)
Duplex scan
4
Q
According to SIGN guidelines what test should all poatients with leg ulceration get?
A
ABPI
5
Q
what does an ABPI of 1.0 suggest?
A
normal
6
Q
what does an ABPI from 0.8-1.3 suggest?
A
compress
7
Q
what does an ABPI <0.8 suggest?
A
vascular disease
8
Q
what does an ABPI >1.5 suggest?
A
calcification
9
Q
how to treat a venous ulcer?
A
- control pain
- ABPI
- non adherant dressing
- de sloughing agent if necessary
- 4 layer compression bandaging
- leg elevation
