Chronic Venous Insufficiency and Venous Ulcers

 

Chronic Venous Insufficiency

Pigmentation (lipodermatosclerosis ulcer)

LEGS

  1. Lipodermatosclerosis
  2. Eczema
  3. Gaps (ulcers) causing white patches “atrophie blanche”
  4. Swelling (edema not in the dorsum of the foot due to subfascial fobrosis)

Venous Ulcer

Number  inspection Palpation

As inspection

LNs

Base

Mobility

Induration

lipodermatosclerosis

Extent

Tenderness

Site Gaiter or ulcer bearing area

Medial and lateral maleolai

Shape Rounded or any
Size Usually superficial
Floor Granulation tissue
Margin Pigmentation
Edge Sloping
Discharge Color – Amount – odor