Venous Ulcer Pathogenesis :- Venous hypertension ry reflux 70% ( genetic) ry reflux 30% (DVT) W.B.C activation V. Hypertension Or Fibrin Cuff Dermatolibosclerosis ulceration ulcer
Diagnosis History up to 35% of the adult population have some of the following V. Disease, DM, T.B, tumour ……… etc. General exam Anaemia (healing) Jundice (tumour ) Local exam Site, Size, Shape and Edge.
Investigations General: C.B.P, W.B.C, E.S.R, C.R.P…. Specific: according to the primary diagnosis Vascular Duplex Infective C & S Neoplastic Biopsy