Term
|
Definition
| A full thickness loss of epithelium |
|
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Term
| What is the proportion of leg ulcers due Venous Ulceration, Mixed Arterial and Venous Disease, Arterial Disease |
|
Definition
Venous - 70%
Mixed - 20%
Arterial - 5%
Other - 5% |
|
|
Term
| In a normal leg, what usually happens to venous pressure with exercise (activation of calf muscle pump)? Increase or decrease |
|
Definition
|
|
Term
| What are the dermal consequences of venous hypertension preceding or co-existing with ulceration? |
|
Definition
| Lipodermatosclerosis Atrophie blanche Capillary changes (eg. Dilatation, Tortuous distortion, fibrin cuff formation) Oedema Eczema Infection |
|
|
Term
Which of the following is linked with lymphatic damage in venous leg ulceration?
Stap aureus
Strep pyogenes |
|
Definition
|
|
Term
| What are the signs of chronic lymphoedema? |
|
Definition
- Cobblestone hypertrophy (Mossy Foot)
- Hyperkeratosis
- Squaring off of the toes
|
|
|
Term
| Other than atherosclerotic peripheral vascular disease, what other conditions may affect the arterial blood flow? |
|
Definition
Outside the wall: Scleroderma, Fibrosis from radiation
Wall disease:Vasculitis, Hypertension, Diabetic microangiopathy,
Inside the lumen:
Cells - Haemoglobinopathy, Polycythaemia, Thrombocytosis
Proteins - Globulinaemias, Myeloma, Familial clotting dis |
|
|
Term
Leg ulceration.
Ulceration over bony prominences is more common in venous ulcer disease. |
|
Definition
|
|
Term
ABPI.
True or false
>1.0 may indicate rigid arteries |
|
Definition
|
|
Term
ABPI.
True or false
<0.5 suggests high compression can be used safely |
|
Definition
| False. <0.5 indicates critical ischaemia |
|
|
Term
True or false
ABPI = 0.85
High compression can be used |
|
Definition
|
|
Term
Which of the following topical antibiotics is most likely to result in allergy?
Fucidic acid
Metronidazole Gel
Soframycin |
|
Definition
| Soframycin. Also neomycin commonly induces a contact dermatitis |
|
|
Term
Leg ulceration.
True or false
Colonisation with pseudomonas is best with by use of an astringent eg. Potassium permanganate, followed by topical metronidazole (eg metrotop) |
|
Definition
|
|
Term
Leg ulcer dressings
What type of dressings are most suitable for a dry eschar or sloughy wound with the intention of hydration/debridement? |
|
Definition
Hydrocolloid eg Granuflex
Hydrogel eg Intrasite |
|
|
Term
Leg ulcer dressings
What type of dressing is most suitable for an highly exudative wound ? |
|
Definition
| Alginates eg Kaltostat, Sorbsan |
|
|
Term
In graduated compression bandaging, what pressure is applied at the ankle?
Which Eponymous Law is for the calculation of bandage pressure? |
|
Definition
|
|
Term
| What drug has been shown to be beneficial in the healing of venous leg ulcers? |
|
Definition
|
|
Term
True or false
Superficial vein surgery (ligation or sclerosis of the long and short saphenous systems) improves the rate of healing of venous ulcers? |
|
Definition
False, but it does decrease the rate
of recurrence of ulceration |
|
|
Term
Leg ulcers
True or false
Class 1 compression hosiery provides the highest level of compression? |
|
Definition
| False - Class 3 is highest compression |
|
|
Term
What condition is being described:
A painful ulcer often starting at site of minor injury.
Starts as small papule and may enlarge rapidly. Characteristic purple, undermined edge.
Associations: IBD, RA, hepatitis , Wegener’s Granulomatosis |
|
Definition
|
|
Term
Leg ulcers – Maggot treatment
Fact: They do not chew the necrotic tissue, they produce enzymes that degrade slough and necrosis.
|
|
Definition
Leg ulcers – Maggot treatment
Fact: They do not chew the necrotic tissue, they produce enzymes that degrade slough and necrosis.
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