Ulcers ☺️ Flashcards
1
Q
Venous
- causes and pathophysiology
- presentation
- types of insufficiency
- investigations
- management (1st and 2nd line)
A
Chronic venous insufficiency => venous HTN
- vessel stretched so fibrin leaks out, forms a cuff around vessel
- skin supplied by that region dies => ulcer forms
Painless above ankle
Deep venous insufficiency linked to past DVT
Superficial venous insufficiency linked to varicose veins
Edema, brown pigmentation, eczema, lipodermatosclerosis
Doppler US - assess for reflux
Duplex US - anatomy, flow
4 layer compression banding after arterial disease exclusion or surgery
No healing after 3months/10cm3+ => skin graft
2
Q
Arterial
- location and properties
- investigation findings
A
Toes, heels
Painful
Some gangrene
Cold, no pulse
Low ABPI
3
Q
Neuropathic
- location and associations
- management
A
Plantar surface of MT, hallux
-common cause of amputation in diabetics
Due to pressure
Cushioned shoes, reduce callous formation
