Leg Ulcers Flashcards
Define “leg ulcer”
Any break in the skin of the lower leg, above the ankle, present for more than 4 weeks
The majority of leg ulcers are arterial in nature. True/False?
False
Majority are venous ulcers
List characteristics of a venous ulcer
Lipodermatosclerosis
Hyperpigmentation
Superficial, located near malleolus
ABPI is measured for ulcer patients. What are the normal limits for ABPI?
0.8-1.3
ABPI of less than 0.8 indicates what?
Vascular disease
ABPI of more than 1.5 indicates what?
Calcification
When would a wound swab of an ulcer be done?
If smelly/painful/exudative/enlarging
Name 2 de-sloughing agents
Hydrogel
Honey
What is the gold standard treatment for leg ulcers?
Compression bandaging + non-adherent dressing
Where do diabetic and arterial ulcers tend to present?
Feet Pressure sites (heel)