Leg Ulcers Flashcards
What type are most leg ulcers
venous
What are the features of a venous ulver
Often near the medial malleolus
Hyperpigmentation
lipdermatosclerosis
What measurement can be taken to differentiate between a venous and arterial ulcer
ABPI
What is a normal ABPI value
0.8-1.3
What does and ABPI of less than 0.8 suggest
vascular (arterial disease)
What does an ABPI above 1.5 suggest
calcification of arteries
Name some de sloughin agents/methods
hydrogel
honey
maggots
How are venous ulcers bandaged
4 layers
non adherent
from ankle to knee - cone shape
pressure greater (40) at the ankle and less (25) at knee
When should ulcers aimed to be healed by
12 weeks
How can you prevent venous ulcer
compression stockings
What is atrophie blanche
Atrophie blanche (AB) is a clinical term used to describe smooth, ivory-white, round or stellate scars or plaques with peripheral telangiectasias that are usually found bilaterally on the legs, ankles, and dorsal feet
What is a possible complication to the skin of venous stasis and ulceration
venous dermatitis/eczema