Venous Ulcer Flashcards

1
Q

Cause of venous ulcer

A

3 from CVI

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2
Q

Investigations

A
  1. Exclude infection
    - Blood test of total whites/CRP
    - Wound swab for gram stain
    - X ray to check for involvement
  2. Venous duplex ultrasound
  3. Any peripheral arterial disease with ABPI/TPI
  4. Refer to dermatologist for other conditions
  5. Biopsy venous ulcer if cannot rule out SCC
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3
Q

What is the management for venous ulcers

A

Conservative - 30-40mmHg

  1. 4 layer compression stock of 30-40mmhg: Menolin, crepe bandage, blue line bandage and adhesive bandage
  2. Antibiotics
  3. Analgesia
  4. Elevate leg
  5. Compression stockings for life
  6. Avoid trauma

Surgical intervention
Biopsy, skin graft +/- endovenous ablation

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