Vascular

Question 1

Venous ulcer

Answer 1

Over med/lat malleolus. Aching in limb. Shallow, irregular borders, oedema, erythema, lipodermatosclerosis, warm skin, normal pulses
Doppler (no art) and duplex USS
Lifestyle, elevate legs, compression, wound care, tissue viability

Question 2

Arterial ulcer

Answer 2

Toes, heels, lat malleolus. Severe resting pain. Pale and cool, well-defined, punched out appearance. Loss of hair. Absent pulses.
Doppler USS, ABPI, angiography
Wound care, lifestyle, analgesia, tissue viability, vascular reconstruction