MedU Case 7

Question 1

chronic, dull, heavy sensation in leg, painless, starts from foot and goes up leg

Answer 1

lymphedema

Question 2

localized pain, erythema, swelling, and heat

Answer 2

cellulitis

Question 3

erythema, dermatitis, hyperpigmentation

Answer 3

venous insufficiency

Question 4

ABI value that dx PAD

Question 5

2 things that cause foot ulceration

Answer 5

impaired sensation

impaired perfusion

Question 6

ulcer with osteomyelitis - what grade of diabetic foot ulcer?

Answer 6

grade 3

Question 7

grangrenous ulcer - what grade of diabetic foot ulcer?

Answer 7

grade 4

Question 8

ulcer involving ligament, tendon, joint capsule or fascia - what grade of diabetic foot ulcer?

Answer 8

grade 2

Question 9

tx of grade 1-2 diabetic foot ulcer

Answer 9

extensive debridement, local wound care, and relief of pressure

Question 10

management of grade 3 diabetic foot ulcer

Answer 10

evaluation for possible osteomyelitis as well as peripheral arterial disease

Question 11

management of grade 5 diabetic foot ulcer

Answer 11

amputation

Question 12

length of anticoag tx for provoked or non provoked w/ high risk of bleeding

Answer 12

3 mos

Question 13

length of anticoag tx for unprovoked and nl bleeding risk or CA

Answer 13

6 mos

Question 14

INR between 5 and 9

Answer 14

stop warfarin, repeat INR in 24 hours, if risk of bleeding, give 1-2.5 mg vitamin K

Question 15

INR between 9 and 20

Answer 15

stop warfarin, administer 5 mg vit K