T3 Abscess & Chronic leg ulcer Flashcards
what causes rubor
vasodilation
what causes calor
- hyperaemia
- systemic +++ in temp (cytokines)
what causes tumor
- localised oedema
what causes dolor
- cytokines
- physical pressure
what causes functio laesa
- pain
- swelling
what is suppuration & what are the contents
- formation of pus
- neutrophils (living&dead), debris, bacteria
what bacteria causes suppuration
pyogenic (staphy., strepto., gonococcus)
what does suppuration lead to
abscess
why should pus from abscess be put in saline
preserves pus from drying out
why should pus from abscess not be put in formalin
formalin kills organisms
What is lost in ulcer
Epidermis & dermis (deep)
Risk factors of venous leg ulcer
- valvular incompetence (valves cant push blood up)
- damage to venous system
- obesity, immobility
Why does immobility contribute to venous ulcer
Pooling —> venous hypertension
History of venous ulcers
- varicose veins
- leg swelling
- DVT/PE
- sitting
- throbbing/aching in calves
- high BP
- pregnancies
- previous surgery
- fractures/injuries
- +++ age & immobility
Examination area of VU
- Medial gaiter
- associated hypertension