Neuropathic Ulcer CAT Flashcards
1
Q
What causes a neuropathic ulcer?
A
- Combo of peripheral neuropathy, atherosclerotic changes, and pressure
- Often present in diabetic population
2
Q
Superficial ulceration
A
Epidermis only
3
Q
Partial thickness ulceration
A
Through epidermis, partly through dermis
4
Q
Full thickness ulceration
A
Through epidermis, dermis, and into deeper layers like subcutaneous fat
5
Q
Contributing factors for neuropathic ulcers
A
- DM
- Peripheral neuropathy
6
Q
Clinical presentation for neuropathic ulcer
A
- Pressure during normal WB
- Common sites: heel, toe tip, tip and dorsal aspect of hammer toe, plantar surface of metatarsal heads, and bunions
- Loss of protective sensation
7
Q
Wound bed of neuropathic ulcer
A
- Well-defined oval shape surrounded by rim of hypertrophic callus
- Granular tissue present w/ little necrosis
- Minimal exudate
- Minimal pain
- Surrounding intact skin is shiny, dry, and inelastic
- Distal pulses diminished or absent
8
Q
Healing pattern for neuropathic ulcers
A
Slow to heal due to systemic impact of underlying conditions
9
Q
Medical management for neuropathic ulcers
A
- Manage contributing factors (blood glucose, hypertension, hyperlipidemia, obesity, atherosclerosis, renal insufficiency) through lifestyle modifications
10
Q
PT management of neuropathic ulcers
A
- Skin protection
- Wound care
