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Flashcards in Ulcers Deck (13)
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1

What is the definition of a leg ulcer

any break in the skin of the lower leg above the ankle present more than 4 weeks

2

What are the causes of leg ulcers?

venous disease
arterial disease
rheumatoid arthritis
diabetic
mixed arterial and venous
malignant
hydrostatic-dependant limb

3

What is the general difference in pain in venous and arterial disease?

venous tends to have neuropathic pain whilst arterial tends to have ischaemic pain

4

What are important things to ask about in PMHx of leg ulcers?

varicose veins; DVT; clotting problems; peripheral vascular disease; arterial disease elsewhere; diabetes

5

Where do venous ulcers tend to be found?

gaiter area; above malleoli

6

What are features of venous ulcers?

haemosiderin staining (hyperpigmentation); varicose veins; lipodermatosclerosis; atrophie blanche

7

What is the normal range in ABPI?

0.8-1.3

8

What is seen in venous eczema?

hyperkeratotic; itchy; very dry
bilateral
scratch marks

9

How can you differentiate between venous eczema and cellulitis?

venous eczema is bilateral whereas cellulitis is usualy unilateral

10

What are the pressures created in 4 layer bandaging system?

40mmHg at ankle; 25mmHg below kneee

11

How long should it take to heal ulcers with the 4 layer bandaging system?

12 weeks

12

What is the difference in appearance of venous and arterial ulcers?

venous ulcers tend to have a shallow edge whereas arterial ulcers may have very sharp cliff like edges and can be described as being punched out

13

Where do diabetic and arterial ulcers often present?

pressure sites such as the heel or on the feet