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Vascular
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- 1What are the features of a venous ulcer?Superficial
Moderate to heavy exudate
More proximal
Irregular
Hyperpigmentation, dermatitis
May be painless
Dark/bluish due to haemosiderin (stasis)
(Cause: ischemia, thrombophelbitis, thrombosis) - 2What are the features of an arterial ulcerDON'T USE COMPRESSION THERAPY (inadequate blood supply)
More common on pressure poitns i.e. lateral malleolus
Pain at rest
More distal
Regular
Skin around: blanched, shiny, tight (pale due to lack of perfusion)
Punched out, very painful, demarcated - 3Explain Buerger's testGravity enhances the arterial inflow and the skin becomes red --> more severe arterial insufficiency, gangrene may be seen
Cellulitis will cause skin to appear bright red, shiny skin, loss of hair - indication of arterial insufficency
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- University OSCE Fichas sobre Vascular, creado por devaki.w el 13/07/2013.
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