Question

25)    Venous and arterial ulcers
Complete the following table (10-30 words each)

Characteristics

25.1)     Common History Venous ulcers Arterial ulcers

25.2)     Classic Site Venous ulcers Arterial ulcers

25.3)     Exudate level Venous ulcers Arterial ulcers

25.4)     Pain Venous ulcers Arterial ulcers

25.5)     Oedema Venous ulcers Arterial ulcers

25.6)     Skin Colour Venous ulcers Arterial ulcers

25.7)     Local Skin Temperature Venous ulcers Arterial ulcers

Answer 1

	ARTERIAL ULCER	VENOUS ULCER
25.1)history	The patient will generally have a positive history of smoking, hypertension, hyper lipidemia, intermittent claudication, diabetes mellitus and pain after exertion and elevation of leg.	The patient may have history of multiple pregnancies, deep vein thrombosis, varicose veins, pain and swelling at end of day which relieves on elevation of leg above heart level.
25.2) classic site	Occurs in heel, feet, metatarsal heads and bases. Can also occur in upper limb digits.	Around and above the medial malleolus called gaiters area
25.3) exudate level	Low to moderate in arterial ulcers. It is low compared to venous ulcers.	High exudates are seen in case of venous ulcers
25.4) pain	Very painful and tender with resting pain	Comparatively less painful and sometime painless. Presence of secondary infection makes it painful
25.5) oedema	Not so common and may or may not be present	Oedema is common
25.6) skin colour	Shiny and taut skin, ischemic or gangrenous skin can be seen	Surrounding skin is hyper pigmented and dark. Lipodermatosclerosis is common.
25.7) local temperature	Colder in temperature	Warmer in temperature

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