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3021190
Skin ulcers
Description
Mind Map on Skin ulcers, created by Laura Smitherman on 02/07/2015.
Mind Map by
Laura Smitherman
, updated more than 1 year ago
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Created by
Laura Smitherman
almost 9 years ago
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Resource summary
Skin ulcers
full-thickness defect in epidermis
Types
Arterial
symptoms/signs
ulcer
well defined edges
'punched out'
V. PAINFUL
deeper than venous
location
lateral surface of ankle & distal digits
bony prominences
Peripheral artery disease (PAD)
absent pulses
thin, shiny skin
absence of hair, poor nail growth
cold, blue skin
CLAUDICATION
rest pain in soles of feet when elevated
investigations
Ankle Branchial Pressure Index (ABPI)
PAD = <0.9
X-ray
osteomyelitis
management
antibiotics
vascular surgery referral
vascular bypass
angiography
lifestyle
Stop smoking
Glycaemic control
reduced blood flow due to narrowing of arteries -> ischaemia
Venous
symptoms/signs
ulcer
irregular, undefined shape
superficial
location
medial malleolus
lipodermatosclerosis
tapering of leg above ankle
'inverted champagne bottle'
haemosiderosis
brown hyperpigmentation
iron deposition in skin
varicose veins
previous DVT
management
compression stockings + elevation
after ABPI to rule out PAD
lifestyle/meds
surgery
ablation
sclerotherapy
stripping
investigations
CVD/diabetic risk factors
HbA1c
BP
lipid profile
incompetent valves -> stasis/insufficiency
Diabetic
aetiology
peripheral neuropathy
reduced sensation/ proprioception
damage to pressure areas
PVD
reduced healing
symptoms/signs
deep, painless ulcer
on pressure area
callous formation
'sock & glove' parasthesia
Hx of previous ulcers & slow healing
investigations
random glucose/ HbA1c
xray
ABPI
management
ulcer
debridement
regular cleaning & dressing change
antibiotics prn
vascular referral
lifestyle/meds
BP control
glycaemic conrtol
cholesterol control
education
regular exercise
long term
Annual diabetic foot check
Media attachments
208f7ee2-9046-4fa7-aaf9-c54196525757 (image/png)
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