Lower Extremity Wounds

Question 1

result of chronic inflammation within a chronic wound, this is a squamous cell carcinoma (SCC)

Answer 1

Marjolin Ulcer

Question 2

How do we dx a marjolin ulcer?

Answer 2

Confirm with a biopsy of the edge of the wound (the center will be granulation tissue)and treat with wide excision.These are aggressive cancers, so the best treatment is to prevent them or diagnose them very early.

Question 3

What are some reasons venous stasis ulcers form?

Answer 3

For venous stasis ulcers to form, there must be a reason for venous stasis, a cause for chronic edema. That means either an impaired outflow—deep vein thrombosis, venous insufficiency, lymphedema—or volume overload—heart failure, ESRD (end stage renal disease), cirrhosis

Question 4

What ABI indicated PAD?

Answer 4

ABI < 0.9 (PAD)

Question 5

What ABI indicates CTLI?

Answer 5

< 0.4 (CTLI)

Critical Threatning Limb Ischemia

Question 6

Diabetic foot wounds tend to occur _______________________________the points of maximal pressure when ambulating.

Answer 6

Diabetic foot wounds tend to occur on the bottoms of the feet—the soles or under the metatarsal heads—the points of maximal pressure when ambulating.

Question 7

______________–occur where there is a bony protuberance close to the skin. Look for a bedridden patient with wounds at the shoulders, elbows, knees, ankles, or sacrum.

Answer 7

compression ulcer