Leg Ulcers

Question 1

What is the definition of a leg ulcer

Answer 1

Open lesion between the knee and the ankle that remains unrelated for 4 weeks

Question 2

Where is common for venous ulcer

Answer 2

Medial and lateral malleoli

Question 3

What does a arterial ulcer look like

Answer 3

Pale, skinny, open, well defined, punched out

Question 4

What is common for venous ulcer

Answer 4

Lipodermatosclerosis
Hyperpigmentation
Woody tethered skin

Question 5

What is pyoderma gangrenosum assoc with

Answer 5

Inflammatory response to trauma

Question 6

What is necrobiosis lipoidica associated with

Answer 6

Diabetes

Question 7

Ix of leg ulcers

Answer 7

ABPI ( Arterial)
Would stab ( only if it’s painful / exudate / malodour/ enlarging
Bloods ( FBC, LFT, CRP, u& e
Patch testing

Question 8

Treatment

Answer 8

Control pain
Non adherent dressing
De - sloughing agent if necessary
4 layer compression bandaging

Question 9

What are examples of de- sloughing agents

Answer 9

Hydrogel and honey