Leg Ulcers Flashcards
what is a definition of a leg ulcer
any break in the skin of the lower leg above the ankle present more than 4 weeks
what are the types of leg ulcers
venous (most common) arterial diabetic vasculitic malignant hydrostatic - all ulcers are multifactorial
what details are important in the assessment of the ulcer
position of ulcer
surface area of ulcer
what is associated with venous ulcers
Lipodermatosclerosis - thickening of fatty layer
Hyperpigmentation
Malleolus
venous dermatitis
what are the values of ABPI for venous ulcers
- 8-1.3 normal
1. 5 calcification (hardened arteries)
treatment for venous ulcer
control pain non-adherent dressing de-sloughing agent 4 layer compression bandaging leg elevation
what is the aim to heal the ulcer by
12 weeks
what are arterial ulcers described as
sharp, cliff-like edges, and can be described as being “punched out”
where venous ulcers normally develop
around malleoli
where do Diabetic ulcers and arterial ulcers present
feet, especially around pressure points such as heel or where shoes rub
this is due to neuropathy
features of venous ulcers
Irregular borders
Painless
features of arterial ulcers
Punched out borders
Pain
