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Arterial vs Venous
Ulcers
| Question | Answer |
|---|---|
| A - pain | intermittent claudication (pain with walking, goes away at rest) |
| A - complications | very slow healing ulcers and gangrene leading to amputation |
| A - affected areas | toes, feet, heals, pressure points (tip of fingers) |
| A - temp | cool |
| A - risk factors | smoking, hyperlipidemia, HTN, diabetes, male |
| A - pathophysiology | usually atherosclerosis - plaque builds up in arteries |
| A - paresthesia | present due to decreased blood flow to nerve tissue |
| A - surgical therapy | bypass for reperfusion, endarterectomy, angioplasty |
| A - pulse | weak or absent, cap refill >3 seconds |
| A - paralysis | only in severe cases |
| A - other characteristics | thick brittle nails, muscle atrophy |
| A - swelling | none |
| A - skin color | dependent rubor (red when down), shiny and taut, hairless |
| V - paralysis | no |
| V - treatment | elevation, TEDs, weight loss |
| A - treatment | stop smoking, lower BP, exercise |
| V - pathophysiology | incompetent valves, pooling of blood, decreased venous return, increased pressure and fluid |
| V - paresthesia | none |
| V - swelling | pitting edema is common |
| V - pulse | not affected, may be difficult if edema is present, cap refill <3 seconds |
| V - risk factors | history of DVT, muscle atrophy |
| V - temp | warm |
| V - affected areas | lower leg/ankles |
| V - pain | heavy and fullness |
| V - other characteristics | may have eczema or stasis dermatitis accompanied by pruritus |
| V - complications | secondary infection |
| V - skin color | brownish/purple |
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