Leg Ulcers

Question 1

Define “leg ulcer”

Answer 1

Any break in the skin of the lower leg, above the ankle, present for more than 4 weeks

Question 2

The majority of leg ulcers are arterial in nature. True/False?

Answer 2

False

Majority are venous ulcers

Question 3

List characteristics of a venous ulcer

Answer 3

Lipodermatosclerosis
Hyperpigmentation
Superficial, located near malleolus

Question 4

ABPI is measured for ulcer patients. What are the normal limits for ABPI?

Answer 4

0.8-1.3

Question 5

ABPI of less than 0.8 indicates what?

Answer 5

Vascular disease

Question 6

ABPI of more than 1.5 indicates what?

Answer 6

Calcification

Question 7

When would a wound swab of an ulcer be done?

Answer 7

If smelly/painful/exudative/enlarging

Question 8

Name 2 de-sloughing agents

Answer 8

Hydrogel

Honey

Question 9

What is the gold standard treatment for leg ulcers?

Answer 9

Compression bandaging + non-adherent dressing

Question 10

Where do diabetic and arterial ulcers tend to present?

Answer 10

Feet
Pressure sites (heel)