ulcers Flashcards
what are characteristics of venous ulcers?
shallow, large
where are venous ulcers usually found?
above ankle, on shin
what is the cause of venous ulcers?
incompetent valves > venous stasis + inc venous pressure
who do venous ulcers typically effect?
obese
elderly
immobile
varicose veins
DVTs
what are the signs and symptoms of venous ulcers?
peripheral oedema
hyperpigmentation
stasis eczema
lipodermatosclerosis
what is the management of venous ulcers?
de-slough
bandage
elevate
compression stockings
what are the characteristics of arterial ulcers?
deep
small
where are arterial ulcers usually found?
distal dorsum foot
between toes
what is the cause of arterial ulcers?
inadequate arterial supply
which patients do arterial ulcers usually affect?
diabetics
CVD patients
obese
immobile
what are the signs and symptoms of arterial ulcers?
night pain
hairlessness
cold peripheries
absent pulses
what is the management of arterial ulcers?
improve circulation
how do malignant ulcers present?
rolled edges
not healing
what are the two types of malignant ulcers?
BCC
SCC
how do neuropathic ulcers present?
lack of sensation
where do neuropathic ulcers usually affect?
pressure areas - metarsal heads
which types of patients do neuropathic ulcers usually affect?
diabetics
what does lipodermatosclerosis usually look like?
inverted wine bottle
what are the investigations used for ulcers?
measure S.A and position
ABPI
- <0.8 = vascular
- >1.5 = calcification
swab if signs of infection
duplex US, ECG
