Leg Ulcers Flashcards
1
Q
Define leg ulcer
A
Break in skin of lower leg above ankle for more than 4 weeks
2
Q
Lipodermatosclerosis
A
Thickening of subcutis
3
Q
Features of venous ulcer
A
Lipodermatosclerosis Hyperpigmentation Malleolous/Gaiter area Surrounding skin tight Ankle swelling Varicose veins Superficial Venous dermatitis
4
Q
Normal ABPI
A
0.8-1.3
5
Q
ABPI for vascular disease
A
Less than 0.8
6
Q
ABPI for calcification
A
Over 1.5 (diabetes, renal disease)
7
Q
Investigations for leg ulcer
A
ABPI Swab (if painful, enlarging, getting worse) Bloods: FBC, LFTs, UandEs, CRP Patch testing Duplex scan
8
Q
Treatment of venous ulcer
A
Control pain Non-adherent dressing Hydrogel/Honey (de-sloughing) 4 layers compression bandaging Leg elevation
9
Q
4 layer bandaging system
A
40mmHg at ankle
25mmHg below knee
Cone shape
10
Q
Aim to heal venous ulcer by:
A
12 weeks
11
Q
Features of arterial ulcer
A
Deep On foot/toes/areas of pressure Punched out Smaller Well demarcated
12
Q
Treatment of arterial ulcers
A
Maggots to debride
