Atypical Leg Ulcers

Question 1

Given patient scenarios, be able to identify pathology, presentation and suggest management for: Vasculitic ulcers

Answer 1

Similar presentation to Arterial Ulcers
Drugs, autoimmune conditions 
Eliminate/treat underlying etiology
Steroids - systemically and topically
Warm, pulses palpable

Question 2

Given patient scenarios, be able to identify pathology, presentation and suggest management for: Pyoderma gangrenosum

Answer 2

PG - purple maroon wound edges
Painful wound lesions
Pathergy - no Sharp Debridement
use of topical and systemic Steroids
Triamcinolone, Dapsone
difficult to diagnose: rule out other conditions

Question 3

Given patient scenarios, be able to identify pathology, presentation and suggest management for: Basal cell carcinoma

Answer 3

Biopsy, resembles hypergranulated tissue

if wound failing to heal, r/t malignancy

Question 4

Given patient scenarios, be able to identify pathology, presentation and suggest management for: Calciphylaxis

Answer 4

HyperCalcemia, Hyperphosphatemia, parathyroidism, renal disease w/ dialysis
correct causative factors
NaThiosulfate for Calcium, treat parathormone
Surgical debridement if ESP treated
NWPT