Leg Ulcers

Question 1

most common location of venous leg ulcer

Answer 1

above ankle

Question 2

presentation venous leg ulcer

Answer 2

haemosiderin staining (brown pigmentation) 
lipodermatosclerosis (changes in the skin of the lower leg) 
eczema

Question 3

Ix for venous ulcer

Answer 3

duplex US

Question 4

Mx venous leg ulcer

Answer 4

4 layer compression stocking - more pressure at ankle and less on leg to encourage venous return

Question 5

how long can graduated compression stockings be left one for

Answer 5

max 1 wk, then need changed

Question 6

most common location of arterial leg ulcer

Answer 6

toe and heel

Question 7

presentation arterial leg ulcer

Answer 7

pain
hair loss
punched out
cold with no palpable pulses

Question 8

Ix of arterial leg ulcer

Answer 8

ABPI measurement

Question 9

ABPI scoring

Answer 9

<0.8 = vascular disease
0.8 - 1.3 = normal
> 1.3 = calcification

Question 10

what condition causes calcification

Answer 10

diabetes

Question 11

Mx arterial leg ulcer

Answer 11

lifestyle changes
wound care
skin graft/revascularisation

Question 12

cause of neuropathic ulcers

Answer 12

diabetes

Question 13

most common location of neuropathic ulcers

Answer 13

plantar surface of metatarsal head, plantar surface of hallux