Neuropathic, Arterial and venous wounds

Question 1

what are some arterial causes

Answer 1

-ischemia
-micro/macro vascular disease
-smoking

Question 2

what are some venous insufficnecy

Answer 2

-DVT
-recent surgery
-prolonged standing, pregnant
-CHF

Question 3

what are some neuropathic/diabetic

Answer 3

-diabetes
-peripheral vascular disease
-hansens
-charcot marie teeth

Question 4

talk about neuropathic wounds

Answer 4

-occur on foot or plantar sufrace or toes
-cause by mechanical forces or minor trauma
-sensory, autonomic, motor neuropathy

Question 5

talk about artieral wounds

Answer 5

-caused by ischemia
-located at perihperal extremities

Question 6

what are the most common LE wounds

Answer 6

venous

Question 7

what are the causes of chronic venous insufficency

Answer 7

-reflux as a result of incompetent values
-obstruction
-lack of venous pump during gait

-results in venous hypertension and excessive moisture in tissue
-prevents adequate oxygen and nutrients from reaching skin

Question 8

what are the pathophysioogical adaptations

Answer 8

-vessel dialation and elongation
-increased collagen deposition in both vein walls and skin
-plasma protein leaks into intersisital space with resulitng fibrin cuff around arterioles
-increased inflammatory cells

Question 9

what is the progression of venous disease

Answer 9

-heavy, achy legs
-telegenstia or reticular veins
-varicose veins
-edema withotu ulceration
-skin changes w/out ulcertaion
-skin changes w/ ulceration

Question 10

what are some common skin changes consistent with chronci venous insufficenty

Answer 10

-hyperpigmemntation
-lipodermatoscerlosis
-dilated long saphenous vein
-atrophie blanch
-edema
-dermatitis
-thick skin
-celluliutusi

Question 11

where are venous wounds located

Answer 11

gaiter area