CHAPTER FOUR. Vascular Wounds
The most common cause of peripheral arterial occlusive disease is
Where are arterial wounds usually located?
a. On bony prominences of the lower extremity
A 79-year-old male with a non-healing wound on the lateral heel is referred for wound care. Which of the following characteristics is a criterion for urgent debridement?
a. 2+ dorsalis pedis and 1+ posterior tibialis pulses
b. Blanching of the periwound skin
c. Ankle-brachial index of 0.6
d. Detached edges with seropurulent drainage and mild odor
During an assessment of a patient with a non-healing wound on the great toe, it is noted that the capillary refill is 6 seconds. Which of the following tests would be most appropriate to determine if the patient has adequate perfusion for healing?
b. Transcutaneous oxygen tension
d. Duplex with color flow imagining
Which clinical sign is associated with a TcPO2 less than 20 mmHg?
b. Mild rubor of dependency
c. Delayed but adequate wound healing
Which of the following does not modify risk or contribute to venous ulcers?
b. Hormonal changes during pregnancy
Symptoms of venous insufficiency include
a. Ulcers of the distal toes
b. Pain relieved by standing