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Arterial Ulcers
Causes
- large vessel disease
- atheroma
- Beurger's Disease
- small vessel disease (vasculitis)
Features
- punched-out
- painful
- higher on leg or on feet
- history of claudication, smoking, diabetes, etc
- leg cold, pallor
- absent peripheral pulses
- arterial bruits
- loss of hair
Treatment
- keep clean and covered
- adequate analgesia
- vascular reconstruction
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