Venous ulcer

Question 1

where is it seen?

Answer 1

medial malleolus

Question 2

ix

Answer 2

ankle-brachial pressure index (ABPI) is important in non-healing ulcers to assess for poor arterial flow which could impair healing

a ‘normal’ ABPI may be regarded as between 0.9 - 1.2. Values below 0.9 indicate arterial disease.

Interestingly, values above 1.3 may also indicate arterial disease, in the form of false-negative results secondary to arterial calcification (e.g. In diabetics)

Question 3

mx

Answer 3

1. compression bandage
2. oral pentoxifylline