ulcer vasc/diabetuc

Question 1

ulcer definition

Answer 1

An ulcer is a discontinuity or break in the epithelial layer of a bodily membrane (that impedes normal function of the affected organ)

Due to microscopic death of tissues

Question 2

margin

Answer 2

border or transitional zone of skin around ulcer

Question 3

edge

Answer 3

mode of union between the ulcer skin and normal skin

Question 4

aetiology of ulcers

Answer 4

Arteritis:
- Temporal cell arteritis/giant cell arteritis
- Polymyalgia rheumatica
- SLE/RA

Trauma

Chronic infection

Neoplastic

Venous

Arterial (atherosclerosis/diabetes)

Question 5

what is a rodent ulcer

Answer 5

A rodent ulcer is a non-melanoma skin cancer, also known as a basal cell carcinoma.

Question 6

SUPER stands for

for ulcer classification

Answer 6

Sloped, undermined, punched out, everted, raised

Question 7

sloped edges found in

Answer 7

venous or healing ulcers

Question 8

undermined edges found in

Answer 8

TB and pressure sores

Question 9

punched out edge found in

Answer 9

trophic/arterial, syphilis, leprosy, DM

Question 11

everted edges

Answer 11

SCC

Question 12

Raised/rolled edge

Answer 12

BCC

Question 13

undermined ulcer description

Answer 13

Infection affects subcutaneous tissue more than skin, overhanging skin is thin and friable, reddish-blue

Question 14

punched out represents

Answer 14

rapid death of cells without any attempt to jeal

Question 15

medial malleolus ulcer

Answer 15

likely venous, varicose ulcer

Question 16

Diabetic ulcer features

Answer 16

foot, usually sole, painless due to neuropathy

Question 17

arterial ulcers location

Answer 17

digits of lower limbs are painful

Question 18

diabetic foot assessment key point

Answer 18

check underside of shoes and fit of shoe

Question 19

classic arterial ulcer

Answer 19

tip of toes/dorsum of foot v painful

Question 20

location of short saphenous varicosity with ulcer

Answer 20

lateral leg

Question 21

BMT

Answer 21

anti platelet PPI statin

Question 22

green discharge from a wound think about

Answer 22

pseudomonas

coamoxiclav doesn’t cover

Question 23

surgeons job with ulcer

Answer 23

control bleeding and remove pus

Question 24

what to give for pseudomonas

Answer 24

tazocin (piperacillin and tazobactam)

Question 25

2 Ts

Answer 25

temperature and tenderness

Question 26

chronic ulcer/non-healing ulcer

Answer 26

ulcers that persist despite medical management >6 weeks

do not proceed towards healing and unresponsive to initial therapy

Question 27

most common type of ulcer

Answer 27

mixed

Question 28

in patients with chronic leg ulceration

Answer 28

80% present with chronic venous insufficiency

Question 29

predisposing factor for venous insufficiency

Answer 29

immobility

Question 30

for venous ulceration

Answer 30

can be treated with compression bandaging

may be complicated by chronic irritant dermatitis

most common site is great saphenous vein (medial malleolus)

can sometimes progress to black necrotic slough

Question 31

signs of arterial insufficiency include

Answer 31

shiny thin skin, hair loss

Question 32

what is telengiectasias

Answer 32

thread like veins less than 1 cm