Ulcers Flashcards
How many end arteries supply each digit?
4
Do the end arteries of the digits have collateral supply?
No
Ischaemia is always the result of venous issue. True/false?
False (can be a reduction in arterial pressure e.g. from LVF, bleeding) OR increased venous drainage pressure
Most common site of venous ulceration?
Gaiter area
Should swabs always be taken from leg ulcers?
No, not unless there is clinical suspicion of infection
Which organisms are concerning/ need treated if grown from leg ulcer (3)
-S. pyogenes (GAS) -Beta haemolytic streptococci -Anaerobes
A leg ulcer needs to be an open lesion for how many weeks to be considered a true ulcer?
4 weeks
The most common cause of leg ulcers is a defect in….
Venous circulation
Second most common cause of ulcers
Arterial Disease
What % of the UK population will have a leg ulcer at SOME POINT in their life?
1%
Which % of leg ulcers are cared for in community?
80%
Which % of leg ulcers require secondary care admission?
5%
What’s the cost PA to treat one leg ulcer?
Around £1500
What’re some of the leading causes as to why leg ulcers cost so much? (3)
1) Delay in full assessment and diagnosis (e.g. some patients have “leg ulcer” but not “VENOUS leg ulcer”) 2) Delay in ABPI 3) Delay in compression commencement
What are the 6 types of leg ulcers?
1) Venous 2) Arterial 3) Vasculitic 4) Malignant 5) Inflammatory 6) Hydrostatic
Which medication is particularly associated with leg ulcers?
Nicorandil (propylaxis of stable angina)
What class of ulcer is this?
Venous (gaiter area)
What is this sign called (a tethered, woody leg)?
Lipodermatosclerosis
What type of ulcer is this?
Arterial (on pressure area)
