Leg Ulcers Flashcards Preview

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Flashcards in Leg Ulcers Deck (19):
1

Which groups are commonly affected by leg ulcers

The elderly - getting more prevalent with ageing population
Diabetics
Immobile people

2

Who cares for leg ulcers

80% in community - GP and nurses
12% specialist - derm and surgeon
5% in patients

3

How do you assess a leg ulcer

Assess patient first - full history and general health Then check the leg
Then focus on the ulcer itself

4

What might you have to do before treating with a compression bandage

Treat the pain
Often this is the biggest issue affecting the patient
They sometimes cannot tolerate the bandages

5

What is venous dermatitis

Dry, scaly skin that occurs secondary to venous insufficiency
blood isn't providing enough nutrients etc as it is static

6

where do venous ulcers usually appear

In the gator area
This is in the lower leg - mid calf/shin down to malleolus

7

where do arterial ulcers usually appear

Higher up on the calf or shin

8

What type of ulcers may be found on the heel

Pressure ulcers

9

Where on the foot would diabetic ulcers be found

Toes
can occur elsewhere

10

What is slough

Debris, combination of dead cells and exudate
Seen on the surface of ulcers
Appears yellowish
Not dangerous but can impair healing

11

What is the classic appearance of an arterial ulcer

Sharp edge
Punched out appearance
May see tendon

12

What other signs would be seen on a leg with an arterial ulcer

Hairless
Pale
Cold
Due to poor blood supply

13

What is vasculitis

inflammation of the blood vessels
Group of conditions with different presentations
Can be caused by, high fat, poor blood supply, vasoconstrictor drugs, stasis etc

14

What is the cutaneous presentation of vasculitis

Painful
Sudden onset
Purpuric rash/pustules
Necrotic

15

What investigations would you do for a leg ulcer

ABPI - carried out on everyone to assess vascular disease
Wound swab - ONLY if sign of infection
Bloods - FBC, LFT, U&E to check healing
Patch testing to treatment options
Duplex scan if indicated

16

How do you treat a venous ulcer

COMPRESSION - 4 layer bandaging
control pain
de-slough if needed
Leg elevation

17

How should a compression bandage be applied

With graduated compression
Tighter above ankle then decrease - force blood back up leg
pad leg to cone shape to assist

18

What is the function of a dressing

Just stop bandage sticking to open wound
They DO NOT heal the wound

19

How do you prep the wound bed for healing

Need to remove necrotic tissue
Rehydration with hydrogel or honey - autolytic
Sharp debridement - cut away with scalpel/scissors
Surgical
Larvae therapy - apply maggots