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Risk Factors
Clinical Features
Testing & PT Exam
Management
Extra
100
Multiples of this condition in women can result in VI. 

pregnancies

100

This describes the brown-yellowish discoloration that appears the RBC enzymatic breakdown

Release of hemosiderin or hemosiderin staining
100
A common measurement taken of the limb for LEVD

Girth measurment

100

PT Management of the ulcer includes these three things: 

wound care, limb protection, RF reduction

100

An ABI less than this value means compression is contraindicated because of...

<0.6; arterial involvement
200

Vigorous this can result in vascular insuffiency

exercise

200

This process is the result of protein leakage from veins into the tissue causing fibrosis

Brawniness

200

Can be taken peripheral limbs and will be present upon palpaption

peripheral pulses
200

An important LEVD PT intervention is to reduce this condition that refers to excessive accumulation of fluid in the interstitial space

Edema

200

It is important to tell patients to do this when standing for long periods of time

weight shift/ walk. 

Sitting/ standing with legs dependent decreases skin oxygen levels. 

300

Severe exposure of the leg to this can lead to vascular insuffiency

trauma
300

Describes the wound bed

ovoid, edematous of variable exudate, fibrous yellow slough, irregular edges, bulging veins

300

These ABI values indicate arterial involvement PAD

borderline 0.91-0.99, mild-mod 0.41-0.90 
300

A simple way to reduce edema is with this type of exercise program

A daily walking program (+ compression stockings)

300

A patient asks you which of these three exercises would be most helpful to do daily: strength training, swimming, walking around the mall

can choose more than one
swimming or walking are best. Any type of aerobic exercise is good. 
400
A history of DM, CHF, recent edema, and this potentially life-threatening vascular condition are all RF for LEVD

DVT (deep venous thrombosis)

400

LEVD are typically located here

proximally, medially (medial malleolus)

400

Caring for venous ulcers requires this type of wash and process

saline wash; debridement

400

This can be done for 20-30min for 3+ times a day to help manage LEVD

Elevation

400

For venous ulcers with a lot of yellow slough/fibrin, these dressings would be best

autolytic debridement + hydrocolloid 

500
Are they at risk? A 38 y/o M with a FHx of maternal VI, a personal BMI of 33.5, and new diagnosis of HTN I.

Yes. FHx, obesity (BMI >/=30) and HTN are all risk factors

500
Pain is often characterized as...

mild-mod, achey/heaviness, worse with standing

500

Your pt has a venous ulcer and you are in charge of their wound care. Considering the excessive exudate, you think these would be the best dressings for the patient

Dressings that absorb. Calcium alginate, thick foam, hydrofiber are indicated. Compression is good, too. 
500
Compression specifications

40mmHg at ankle graduated to 12-17mmHg at knee

500

This is a mainstay of managing vascular ulcers as it blocks trans-capillary flow during muscular contractions

Compression. It helps to increase the flow out of deep veins back to the heart.