juanma0
Forum Senior
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Arterial ulcers are often located distally and on the dorsum of the foot or toes. Initially they have irregular edges, but they may progress to have a better-defined appearance. The ulcer base contains grayish, unhealthy-appearing granulation tissue. With manipulation, such as debriding, these ulcers bleed very little or not at all. The patient may report characteristic pain, especially at night when supine, which is relieved by dependency of the extremity. Upon examination, characteristic findings of chronic ischemia, such as hairlessness, pale skin, and absent pulses, are noted.
Venous ulceration is commonly noted in the “gaiter” region of the legs. This region is located circumferentially around the lower leg from approximately mid calf to just below the medial and lateral malleoli. Larger but shallower than other ulcers, stasis ulcers have a moist granulating base and an irregular border. This base oozes venous blood when manipulated. The tissue surrounding these ulcers may exhibit signs of stasis dermatitis. Patients often report mild pain that is relieved by elevation.
Got this from emedicine, had good pics, but couldnt paste em, sorry.
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| nadiabarati
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thanks
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| tolito
Forum Fanatic
Topics: 119
Posts: 2,162
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also i think arterial ulcers are found in interdigital spaces of toes.
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| vikram25
Forum Newbie
Topics: 2
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Very Comprehensive
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| sheeezooo
Forum Guru
Topics: 30
Posts: 343
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first step in diagnosis is doppler duplex scan
best diagnostic test is angiograpy(arteriography or vnography )
complications of venous or stasis ulcers are sec: infection,contact dermatitis,autosensitization producing ageneralized dermatitis(eg: sread to upper extremiies or eyes)
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