Vascular Flashcards
Typical location of neuropathic ulcers
Pressure areas = Plantar surface of MTP Dorsum of DIP/PIP Base of 5th MT Medial or lateral malleolus Heel
Typical appearance of ischaemic ulcers (arterial insufficiency)
Small
Deep
Well defined borders/punched out
Sloughy base
Typical appearance of venous ulcers
Large
Shallow
Irregular edges
Granulation tissue in base
Typical location of venous ulcers
Gaiter area (medial malleoulus)
Typical location of arterial/ischaemic ulcers
Distal periphery, dorsum of foot, pretibial
Typical appearance neuropathic ulcers
Variable
What type/s of ulcer is/are painless?
Neuropathic
What type/s of ulcer is/are painful?
Ischaemic and venous
Treatment for venous ulcers?
elevation
compression
dressing changes
what is critical limb ischaemia?
ischaemic rest pain with ulcers/gangrene and low trans-cutaneous oxygen pressure
At what sBP do you lose the carotid pulse?
40mmHg
At what sBP do you lose the radial pulse?
80 mmHg
At what sBP do you lose the femoral pulse?
60 mmHg