Archive for the ‘Leg ulcers’ Category

Treatment of venous ulcers

Monday, April 19th, 2010

The venous hypertension ulcers constitute the largest percentage (between 75% and 90%) among the total of the veins. Because of its high incidence (between you 2% and 3% of the population) their care, are in some studies 50% of the total time in primary care nursing.

Chronicity and recurrence are the most relevant clinical characteristics, half are open over nine months, 20% are up to two years, and 10% to five, with relapse a third of the originally healed within twelve months of healing.

Venous stasis ulcers

Venous stasis ulcers

They are generally treated mostly in the outpatient setting, although there are worse criteria that require consultation or hospitalization:

  • Ulcers very extensive, up from 10 to 12 cm., With great loss of substance.
  • Presence of severe edema.
  • Regional signs of infection, lymphangitis or cellulitis.
  • Excessive pain.

It is crucial to perform a thorough history of the patient, especially to investigate personal, employment and associated risk factors. (more…)

Leg ulcers

Tuesday, November 3rd, 2009

The leg ulcer is a very common problem whose social and economic burden is considerable. Considered by many patients as inevitable, it is currently available therapies effective can in most cases be used in ambulatory. Thus, healing can often be obtained provided that employ a diagnostic and therapeutic approach using the most rigorous collaboration between various actors whether medical (general practitioner, dermatologist, angiologist, vascular surgeon, endocrinologist, internist, etc.) and paramedics (nursing (e) s, physiotherapists etc.).

A) the pathophysiological mechanisms
The leg ulcer (UJ) is a loss of substance relevant to chronic skin epidermis, dermis and hypodermis possibly more or less extensive and often sitting on the lower third of the leg. The back of the foot and the proximal region of the leg are often less affected except in certain special circumstances etiological. (more…)

Difficulties of treatment of arterial wounds

Sunday, November 1st, 2009

The occurrence of an ulcer of arterial origin evidence the existence of severe ischemia which may lead to a mutation.
The arterial lesions are usually localized at the axis of femoral-popliteal and leg arteries. So to the clinical examination the femoral pulse is generally well perceived and pulse not found downstream.
We must differentiate between ulcers of the forefoot that once the bypass performed at worst lead to amputation limited type trans-metatarsal ulcers of the hindfoot. (more…)

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