Ulcers

Question 1

Etiologies: Venous Ulcers

Answer 1

Valvular Disease
DVT
Venous Insufficiency
Hypertension

Question 2

Etiology: Neuropathic Ulcers

Answer 2

DM
Peripheral Neuropathy (arterial disease)
Repetitive Trauma to areas of poor sensation

Question 3

Etiology: Arterial Ulcers

Answer 3

Arteriosclerosis Obliterans
Atherosclerosis
DM
Connective Tissue Disease
Vasculitis
Raynaud’s Disease

Question 4

Location: Venous Ulcers

Answer 4

Medial aspect of distal 1/3 LE
Medial Malleolus

Question 5

Location: Neuropathic Ulcers

Answer 5

Bony prominences
Lateral Malleolus
Pressure Points
Plantar aspect of feet, toes, heels

Question 6

Location: Arterial Ulcers

Answer 6

Lower extremity
Dorsal foot/toes
Lateral Malleolus
Bony Prominences

Question 7

Common Manifestations: Venous Ulcers

Answer 7

Improves with elevation
Edema
Hemosiderin Staining
Shallow with HEAVY drainage
Irregular borders

Question 8

Common Manifestations: Neuropathic Ulcers

Answer 8

“Stocking Glove” Distribution
Sensory loss
Tingling
Lacks blood flow
Skin warm/dry

Question 9

Common Manifestations: Arterial Ulcers

Answer 9

Painful with legs elevated
Pain with rest
Pain at night
Relieved with dependency
Loss of hair/shiny skin
Increased sensitivity upon palpation
Deep/dry