Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PVD > Ulceations, Aneurysms and AV fistulae > Flashcards

Ulceations, Aneurysms and AV fistulae Flashcards

1
Q

What is an ulceration?

A 
clinical defects in soft tissue caused by
trauma 
ischemia
infection 
noninfectious inflammatory disorders
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

The common denominator in any wound healing is

A

The presence of tissue necrosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is wound healing?

A

A condition in previously injured tissue represented by
Removal of necrotic tissue
Resolution of infection and inflammation
Organized collagen and mature, stable epithelium overlying viable tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Phases of wound healing

A

Inflammatory phase
Fibroblastic (lag) phase or proliferative
Remodeling phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Remodeling phase begins at about

A

4th week and can last for years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Factors affecting would healing

A 
Diabetes
Infection
Necrotic tissue
Neuropathy
Medication
Pressure
Abnormal metabolic processes
Hyperlipidemia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ulceration risk factors in DM foot

A 
LOPS
PAD
limited joint mobility
Foot deformities
Abnormal foot pressure 
Minor trauma
History of ulcerations or amputation
Impaired visual acuity `
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

peripheral neuropathy is in category

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

check for peripheral neuropathy

A

semi-annualy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Neuropathy, deformity and PAD is in category

A

2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

check for Neuropathy, deformity and PAD

A

quaterly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

if you have previous ulcer or amputation evaluate

A

monthly or quarterly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what the the category for previous ulcer or amputation

A

3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Risk factors for amputation

A 
Neuropathy LOPS
PAD
Inection
history of prior foot ulcer or amupyation
structural foot deformity
Trauma
Charcot foot
Impaired vision
Poor glycemic control
older age 
male sex
Ethnicity
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Causes of LE wounds

A 
Ischemia
Venous dz
Trauma
Pressure
Neuropathy
Infection
Dermatitis
Surgery
Thermal injury
Hypertension
Diabetes
Renal dz
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Ischemic ulcer can happen in

A

Lateral lower leg bony prominences
>Malleolus
>5th met base
>5th met head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What are some non-invasive vascular tests

A

ABI/TBI
Segmental pressure
TcPO2

18
Q

Ischemic ulcer management

A

Referral for underlying dz
Stop smoking
Nutritional support
Wound care and dressing

19
Q

Pressure induced ischemic injury results within

A

1-2 hrs

20
Q

Pressure induced ischemic injuries are usually located at

A

Pressure points
>heel
>MPJ

21
Q

Appearance of Neuropathic ulcer?

A

HPK border
Possibly undermined border
Typically not painful

22
Q

Location of Neuropathic ulcer?

A

dorsal aspect of digits
Plantar aspect of met heads
heel

23
Q

Neuropathic ulcer evauation

A

Semmes-Weinstein Nylon monofilament test
Plain-film radiographs should be obtained to look for soft tissue gas and foreign bodies
Adequate debridement
Probe the ulcer with a sterile blunt instrument to determine the involvement of underlying structures such as tendon, joint capusle or bone
probe the bone to test for osteomylitis

24
Q

How much should you debride?

A

you should remove all necrotic tissue and surrounding hyperkeratosis until a healthy bleeding edge is revealed

25
Q

What is the gold standard for Neuropathic ulcer managament ?

A

total contact casting

26
Q

What does total contact cast do?

A

reduces pressure
immobilizes tissues
Reduces edema
Non- removable

27
Q

What are some indications for TCC?

A

chronic non healing ulceration associated with neuropathis d/o
well perfused
non infected
wagner 1 & 2

28
Q

What are some contraindications for TCC?

A 
Active infection
Poor perfusion
Ischemia
narrow and deep ulcerations
History of dermatitis
Wagner 3,4,5
Claustrophobia
29
Q

Classification/staging systems

A 
Wagner
UTHSC-SA
Gibbons
Forest
Ten-level seattle wound classification system
30
Q

Wagner classifications

A

most ulcers will be grade I or II
Doesnt differentiate well between ulcers
No predicative value for prognosis

31
Q

Wagner classification-0

A

foot at risk

32
Q

Wagner classification-1

A

Superficial ulcers

33
Q

Wagner classification-2

A

Deep ulcers

34
Q

Wagner classification-3

A

Abscessed deep ulcers

35
Q

Wagner classification-4

A

limited gangrene

36
Q

Wagner classification-5

A

Extensive gangrene

37
Q

UTSA

A

Grades pt medical condition and wound

38
Q

UTSA-0

A

Areas of pressure which are sometimes called pre-ulcerative lesion

39
Q

UTSA-I

A

Superficial ulcer not including tendon, capsulla or bone

40
Q

UTSA-II

A

Deep ulcer incuding tendon, capsula but not bone

41
Q

UTSA-III

A

deep ulcer including bone and articulation

PVD (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions