Venous Ulceration


  • Common problem, esp. elderly

Evaluation

  • History
    • minor trauma
  • Site
  • characteristics
  • surrounding tissues
  • regional findings
  • patients general health

Suggestive of venous cause

  • chronic venous insufficiency
  • Skin often weeps plasma in venous insufficiency
  • rarely painful, fluctuate between healing and breakdown
  • rarely SCC develops (Marjolins ulcer)
  • previous history of DVT
  • gaiter area, rare in other sites

 


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