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Characteristics of Lower Extremity Ulcers- Arterial Insufficiency, Venous Insufficiency and Neuropathic Ulcers Flashcards

(51 cards)

1
Q

location of arterial insufficiency ulcer?

A

lower 1/3 of leg, toes, web spaces (distal toes, dorsal foot and lateral malleolus)

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2
Q

what type of lower extremity ulcer typically occurs on the lower 1/3 of the leg and or web spaces (distal toes, dorsal toes, lateral malleolus)?

A

arterial insufficiency ulcer

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3
Q

describe the appearance of an arterial insufficiency ulcer?

A

smooth edges, well defined, lack of granulation tissue
tend to be deep

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4
Q

what type of lower extremity ulcer typically has smooth edges, is well defined, lacks granulation tissue and tends to be deep?

A

arterial insufficiency ulcer

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5
Q

describe the amount of exudate associated with an arterial insufficiency ulcer

A

minimal

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6
Q

what type of lower extremity ulcer has minimal exudate?

A

arterial insufficiency ulcer

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7
Q

describe the severity of pain associated with arterial insufficiency ulcers

A

severe

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8
Q

what type of lower extremity ulcer is associated with severe pain?

A

arterial insufficiency ulcer

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9
Q

what would a physical therapist expect to find when assessing pedal pulses in a patient with arterial insufficiency ulcer?

A

diminished or absent pedal pulses

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10
Q

what would a physical therapist expect to find when assessing edema in a patient with arterial insufficiency ulcer?

A

normal/no presence of edema

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11
Q

what would a physical therapist expect to find when assessing skin temperature in a patient with arterial insufficiency ulcer?

A

decreased skin temperature

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12
Q

what would a physical therapist expect to find when observing/assessing skin, hair and nails in a patient with arterial insufficiency ulcer?

A

skin: thin and shiny
hair loss
yellow nails

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13
Q

what type of lower extremity ulcer is associated with thin and shiny skin, hair loss and yellow nails?

A

arterial insufficiency ulcer

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14
Q

leg elevation __ pain in patients with arterial insuffiency ulcer

A

increases

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15
Q

what type of lower extremity ulcer is associated with increased pain with leg elevation?

A

arterial insufficiency ulcer

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16
Q

location of venous insufficiency ulcers?

A

proximal to the medial malleolus

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17
Q

what type of lower extremity ulcer is typically located proximal to the medial malleolus?

A

venous insufficiency ulcer

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18
Q

describe the appearance of a venous insufficiency ulcer

A

irregular shape, shallow

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19
Q

what type of lower extremity ulcer is typically irregular in shape and shallow?

A

venous insufficiency ulcer

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20
Q

describe the amount of exudate associated with a venous insufficiency ulcer

A

moderate/heavy

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21
Q

describe the severity of pain associated with a venous insufficiency ulcer

A

mild to moderate

22
Q

what type of lower extremity ulcer is associated with moderate to heavy exudate?

A

venous insufficiency ulcer

23
Q

what type of lower extremity ulcer is associated with mild to moderate pain?

A

venous insufficiency ulcer

24
Q

what would a physical therapist expect to find when assessing pedal pulses in a patient with a venous insufficiency ulcer?

A

normal pedal pulses

25
what would a physical therapist expect to find when assessing edema in a patient with a venous insufficiency ulcer?
presence of swelling/increased edema
26
what type of lower extremity ulcer is associated with normal pedal pulses upon assessment?
venous insufficiency ulcer
27
what type of lower extremity ulcer is associated with increased edema/presence of swelling upon assessment?
venous insufficiency ulcer
28
what would a physical therapist expect to find when assessing skin in a patient with a venous insufficiency ulcer?
flaking, dry skin brownish discoloration
29
what type of lower extremity ulcer is associated with flaking, dry skin and brownish discoloration?
venous insufficiency ulcer
30
pain __ with leg elevation in patients with venous insufficiency ulcer
lessens
31
what type of lower extremity ulcer is associated with decreased leg pain with leg elevation?
venous insufficiency ulcer
32
location of neuropathic ulcers?
areas of the foot susceptible to pressure or shear forces during weight bearing
33
what type of lower extremity ulcer is typically located on areas of the foot susceptible to pressure or shear forces during weight bearing?
neuropathic ulcers
34
describe the appearance of a neuropathic ulcer
well-defined oval or circle callused rim, cracked periwound tissue little to no wound bed necrosis with good granulation
35
what type of lower extremity ulcer is typically a well-defined oval or circle with a callused rim, cracked periwound tissue, little to no wound bed and potentially necrosis with good granulation?
neuropathic ulcer
36
describe the amount of exudate associated with a neuropathic ulcer
low to moderate
37
what type of lower extremity ulcer is associated with low to moderate exudate?
neuropathic ulcer
38
describe the severity of pain associated with neuropathic ulcers?
none, but dysesthesia may be reported
39
what type of lower extremity ulcer is associated with no pain, with dysthesia potentially being reported?
neuropathic ulcer
40
what would a physical therapist expect to find when assessing pedal pulses in a patient with a neuropathic ulcer?
diminished or absent
41
when assessing ankle-brachial index in a patient with a neuropathic ulcer and diabetes, are the results typically reliable?
no, they are unreliable
42
what would a physical therapist expect to find when assessing edema in a patient with a neuropathic ulcer?
normal/no edema
43
what would a physical therapist expect to find when assessing skin temperature in a patient with a neuropathic ulcer?
decreased skin temperature
44
what two types of lower extremity ulcers are associated with decreased skin temperature?
arterial insufficiency and neuropathic ulcers
45
what two types of lower extremity ulcers are associated with diminished/absent pedal pulses?
arterial insufficiency and neuropathic ulcers
46
what two types of lower extremity ulcers are associated with normal/no edema?
arterial insufficiency and neuropathic ulcers
47
what would a physical therapist expect to find when assessing skin in a patient with a neuropathic ulcer?
dry, inelastic, shiny skin with decreased/absent sweat and oil production
48
what type of lower extremity ulcer is associated with dry, inelastic, shiny skin with decreased/absent sweat and oil production?
neuropathic ulcer
49
neuropathic ulcer results in loss of __ sensation
protective sensation
50
what type of lower extremity ulcer results in loss of protective sensation?
neuropathic ulcer
51
what are the three main types of lower extremity ulcers?
arterial insufficiency venous insufficiency neuropathic