Vascular Ulcers & Varicose veins Flashcards
MC of Venous ulcers
Incompetent venous valves that prevent efficient venous return from LE
What SXS in pts would indicate possible venous ulcer?
Signs of venous insufficiency
- Varicose veins
- Venous stasis dermatitis
- Heaviness & pain in legs that gets better with elevation
- Edema
- Usually painless
Venous Stasis Dermatitis
Deposition of hemosiderin –> Hyperpigmentation
MC location of venous ulcers
Medial aspect of ankle & calf
- Can be anywhere between ankle & knee tho
Best initial assessment of venous insufficiency w/ venous stasis ulcers
Doppler duplex scan/ Duplex ultrasound
Tx of venous ulcers
- Elevation
- Compression stockings
- Unna’s boot - compression dressing w/ zinc oxide for healing
MCC of Arterial ulcers
Occlusive arterial disease
RFs/ Indications for Arterial Ulcers
- Smoking
- HTN
- Hypercholesterolemia -
- Diabetes
When is symps of arterial ulcers worse?
Night- Dec perfusion
- Leg pain
Best initial assessment of Arterial Ulcers
Ankle Brachial Index (ABI)
MC location of Arterial ulcers
Dorsum of toes, feet & ankle
Sites of increased pressure
Appearance of Arterial ulcers
“Punched-out”
Wound base of Arterial ulcers
Necrotic tissue
Appearance of Venous ulcers
Shallow w/ irregular margins
Wound base of Venous ulcers
Granulation tissue