T3 Abscess & Chronic leg ulcer Flashcards

1
Q

what causes rubor

A

vasodilation

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2
Q

what causes calor

A
  • hyperaemia

- systemic +++ in temp (cytokines)

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3
Q

what causes tumor

A
  • localised oedema
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4
Q

what causes dolor

A
  • cytokines

- physical pressure

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5
Q

what causes functio laesa

A
  • pain

- swelling

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6
Q

what is suppuration & what are the contents

A
  • formation of pus

- neutrophils (living&dead), debris, bacteria

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7
Q

what bacteria causes suppuration

A

pyogenic (staphy., strepto., gonococcus)

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8
Q

what does suppuration lead to

A

abscess

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9
Q

why should pus from abscess be put in saline

A

preserves pus from drying out

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10
Q

why should pus from abscess not be put in formalin

A

formalin kills organisms

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11
Q

What is lost in ulcer

A

Epidermis & dermis (deep)

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12
Q

Risk factors of venous leg ulcer

A
  • valvular incompetence (valves cant push blood up)
  • damage to venous system
  • obesity, immobility
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13
Q

Why does immobility contribute to venous ulcer

A

Pooling —> venous hypertension

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14
Q

History of venous ulcers

A
  • varicose veins
  • leg swelling
  • DVT/PE
  • sitting
  • throbbing/aching in calves
  • high BP
  • pregnancies
  • previous surgery
  • fractures/injuries
  • +++ age & immobility
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15
Q

Examination area of VU

A
  • Medial gaiter

- associated hypertension

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16
Q

Signs of venous hypertension

A
  • Venous flare
  • varicose vein
  • atrophied Blanche
  • lipodermatosclerosis
  • varicose eczema
17
Q

what is arterial ulcer associated with?

A

peripheral vascular disease

18
Q

examination of arterial ulcers

A
  • punched out
  • painful
  • dry skin
  • cool peripheries
  • loss of hair appendages
  • cyanotic
19
Q

cause of neuropathic ulcers

A
  • diabetes

- Causes of neuropathy: alcohol; B1/B2 deficiencies; Charcot Marie tooth

20
Q

appearance of malignant ulcer

A

rolled edges

21
Q

what molecules play a major role in wound healing

A

cytokines

22
Q

why do people with v ulcers need compressions?

A

push blood back to heart (make sure no arterial problems)

23
Q

what are the effects of pentoxifylline

A

+++ blood flow –> +++ oxygenation

24
Q

significance of patch testing

A

check allergies