Venous Ulcer Pathogenesis :- Venous hypertension ------ 1 ry reflux 70% ( genetic) ------ 2 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
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