leg ulcers

Question 1

causes of leg ulcers

Answer 1

venous insufficiency
chronic arterial insufficiency
diabetes
HTN

Question 2

what happens in venous insufficiency

Answer 2

blood pools
fibrin deposits
slows o2 and nutrient to tissues
tissue death

Question 3

diabetic ulcers pathophyisiology

Answer 3

arterial occlusion
nerve damage - injury

Question 4

venous ulcer presentation

Answer 4

below knee
often inner ankle
painless unless infected
aching swollen legs
mottled red brown staining
venous eczema
+/- varicose veins

Question 5

arterial ulcer presentation

Answer 5

feel heel toes
frequently painful
particularly at night/in bed
punched out
cold white feet
intermittent claudication
ABPI <0.9

Question 6

diabetic ulcer presentation

Answer 6

pressure points
puss or crust = infection

Question 7

treatment for venous ulcer

Answer 7

without arterial disease - exercise, elevation + compression
wound cleaning, debridement, dressing
skin graft

Question 8

treatment for arterial ulcer

Answer 8

surgery, statin
stop smoking