Leg Ulcers Flashcards
definition
ADD
causes
venous
arterial
neuro
trauma
aetiology summary
vascular: trauma: inflammatory: neoplastic: gravitational/immobility:
Hx and Ex
ADD
venous - aetio/patho
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venous - features
varicose veins
lipodermatosclerosis
atrophie blanche
‘dragging’ heavy pain
venous - chronic signs
varicose/venous eczema
LDS
venous - complications
superficial infection
cellulitis (Deeper infection)
lymphoedema
contact dermatitis (treatment)
venous - management
Ix: ABPI
Rx: compression, larvae
arterial - aetio/patho
ADD
arterial - features
digits, bony prominences, pressure, trauma areas
necrosic base, no granulation, dry
small, round, punched out
hairless chiny skin, atrophy, CRT
6Ps of arterial disease
claudication + isch rest pain
arterial - management
Ix: ABPI, dopplers
Rx: RFs + vascular referral
neuropathic
peripheral neuropathy: burning, altered sensation, paraesthesia, missing reflexes
ulcers often painless
usually pressure areas; thick rim (callouses)
may be deep and punched out, can be granulating
warm skin, normal pulses
general management
emollients
moist dressings
debridement (incl. larvae)
ABx for infection
DDx
vasculitic ulcer: purpura, purple ulcers
ecthyma: chronic, crusted non-healing ulcer;
