National Nursing Review : Nursing Study Resources & Health Tips

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…)

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…)