Makindo Medical Notes.com |
|
---|---|
Download all this content in the Apps now Android App and Apple iPhone/Pad App | |
MEDICAL DISCLAIMER:The contents are under continuing development and improvements and despite all efforts may contain errors of omission or fact. This is not to be used for the assessment, diagnosis or management of patients. It should not be regarded as medical advice by healthcare workers or laypeople. It is for educational purposes only. Please adhere to your local protocols. Use the BNF for drug information. If you are unwell please seek urgent healthcare advice. If you do not accept this then please do not use the website. Makindo Ltd |
Other conditions associated with leg ulcers and common in written exams - Sickle cell disease, Cryoglobulinaemia, Spherocytosis.
Type of Ulcer | Description | Clinical Features | Treatment |
---|---|---|---|
Venous Ulcers | Typically found above the medial malleolus, often involving the entire lower leg circumference and may be bilateral. Common in patients with varicose veins or a history of DVT. |
|
|
Arterial Ulcers | Occurs on distal toes, pressure areas, lateral malleolus, dorsum of foot, and heads of metatarsals. Typically have a punched-out appearance, cold, and tender. |
|
|
Vasculitis Ulcers | Often found over the tibial tuberosity and can be mistaken for venous ulcers. Typically associated with underlying vasculitic conditions. | Look for associated systemic diseases. | Treat the underlying vasculitis; refer to a specialist for further management. |
Traumatic Ulcers | Typically caused by injury, often in diabetic patients or those with neuropathy, who may not recall the trauma. | Occurs at sites of trauma; may be associated with poor footwear or standing on objects. | Treat underlying cause; ensure appropriate footwear and care to avoid further trauma. |
Neuropathic Ulcers | Commonly found on the heel and plantar surface of the foot, especially in areas with impaired sensation. |
|
|
Malignant Ulcers | Non-healing ulcers that may be indicative of underlying malignancy, such as squamous cell carcinoma (Marjolin's ulcer). | Ulcers that do not heal; may develop from existing venous ulcers. |
|
Pyoderma Gangrenosum | A rare condition that can cause severe ulceration with red violaceous borders, often worsened by surgical intervention. |
|
|