Lower leg ulcer - Revision history

Aidan at 14:22, 12 March 2021

2021-03-12T14:22:14Z

← Older revision		Revision as of 14:22, 12 March 2021
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	{\| class="wikitable"		{\| class="wikitable"
	!		!
	!Venous		![[Venous stasis dermatitis]]
			![[Peripheral artery disease]]
	!Arterial
	!Neuropathic		![[Neuropathic ulcer]]
	\|-		\|-
	\|History		\|History

Aidan: Aidan moved page Lower leg ulcers to Lower leg ulcer without leaving a redirect

2021-03-12T14:21:21Z

Aidan moved page Lower leg ulcers to Lower leg ulcer without leaving a redirect

← Older revision		Revision as of 14:21, 12 March 2021
(No difference)

Aidan at 14:21, 12 March 2021

2021-03-12T14:21:07Z

← Older revision		Revision as of 14:21, 12 March 2021
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	== Differential Diagnosis ==		==Differential Diagnosis==

	=== Common Causes ===		===Common Causes===

			{\| class="wikitable"
	{\|
	!		!
	! Venous		!Venous
	! Arterial		!Arterial
	! Neuropathic		!Neuropathic
	\|-		\|-
	\| History		\|History
	\| Prior DVT, stroke, or miscarriages<br/>Obesity, multiple pregnancies<br/>Pain on prolonged standing		\|Prior [[DVT]], [[stroke]], or miscarriages<br />[[Obesity]], multiple pregnancies<br />Pain on prolonged standing
	\| Smoking<br/>Diabetes<br/>Dyslipidemia<br/>Claudication		\|Smoking<br />[[Diabetes]]<br />[[Dyslipidemia]]<br />[[Claudication]]
	\| Diabetes<br/>Other causes of a peripheral neuropathy		\|[[Diabetes]]<br />Other causes of a peripheral neuropathy
	\|-		\|-
	\| Location		\|Location
	\| Gaiter distribution<br/>Medial more than lateral malleolus		\|Gaiter distribution<br />Medial more than lateral malleolus
	\| Pressure points<br/>Distal points, such as toes		\|Pressure points<br />Distal points, such as toes
	\| Pressure points		\|Pressure points
	\|-		\|-
	\| Pain		\|Pain
	\| Mild to moderate		\|Mild to moderate
	\| Severe		\|Severe
	\| None		\|None
	\|-		\|-
	\| Morphology		\|Morphology
	\| Shallow, with irregular borders		\|Shallow, with irregular borders
	\| Punched-out, with necrotic eschar		\|Punched-out, with necrotic eschar
	\| Punched out		\|Punched out
	\|-		\|-
	\| Skin		\|Skin
	\| Venous stasis dermatitis and lipodermatosclerosis		\|Venous stasis dermatitis and lipodermatosclerosis
	\| Shiny, hairless atrophic skin		\|Shiny, hairless atrophic skin
	\| Callous surrounding the ulcer		\|Callous surrounding the ulcer
	\|-		\|-
	\| Other findings		\|Other findings
	\| Varicose veins<br/>Peripheral edema		\|Varicose veins<br />Peripheral edema
	\| Weak/absent pulses<br/>Delayed cap refill<br/>Pallor on elevation (45º for 1 min)		\|Weak/absent pulses<br />Delayed cap refill<br />Pallor on elevation (45º for 1 min)
	\| Peripheral neuropathy		\|Peripheral neuropathy
	\|}		\|}

	=== Uncommon Causes ===		===Uncommon Causes===

	* Trauma or burns		*Trauma or burns
	* Infection, including ecthyma (~~''Strep.~~ pyogenes'') and ecthyma gangrenosum (''Pseudomonas'')		*Infection, including [[ecthyma]] (from [[Streptococcus pyogenes]]) and [[ecthyma gangrenosum]] (from [[Pseudomonas]])
	* Vasculopathy		*Vasculopathy
	** Vasculitis		**[[Vasculitis]]
	** Livedoid vasculopathy		**[[Livedoid vasculopathy]]
	** Thromboangiitis obliterans (Buerger disease)		**[[Thromboangiitis obliterans]] (Buerger disease)
	** Microvascular occlusion disorders: cryoglobulinemia, cholesterol ~~emboli~~, oxalosis, calciphylaxis		**Microvascular occlusion disorders: [[cryoglobulinemia]], [[cholesterol embolism]], [[oxalosis]], [[calciphylaxis]]
	** Sickle cell disease		**[[Sickle cell disease]]
	* Pyoderma gangrenosum		*[[Pyoderma gangrenosum]]
	* Panniculitis		*[[Panniculitis]]
	* Malignancy		*Malignancy
	* Drugs		*Drugs
	* Brown recluse spider bite		*Brown recluse spider bite

	[[Category:Dermatology]]		[[Category:Dermatology]]

Maintenance script: Imported from text file

2020-07-04T01:17:43Z

Imported from text file

New page

== Differential Diagnosis ==

=== Common Causes ===

{|
!
! Venous
! Arterial
! Neuropathic
|-
| History
| Prior DVT, stroke, or miscarriages Obesity, multiple pregnancies Pain on prolonged standing
| Smoking Diabetes Dyslipidemia Claudication
| Diabetes Other causes of a peripheral neuropathy
|-
| Location
| Gaiter distribution Medial more than lateral malleolus
| Pressure points Distal points, such as toes
| Pressure points
|-
| Pain
| Mild to moderate
| Severe
| None
|-
| Morphology
| Shallow, with irregular borders
| Punched-out, with necrotic eschar
| Punched out
|-
| Skin
| Venous stasis dermatitis and lipodermatosclerosis
| Shiny, hairless atrophic skin
| Callous surrounding the ulcer
|-
| Other findings
| Varicose veins Peripheral edema
| Weak/absent pulses Delayed cap refill Pallor on elevation (45º for 1 min)
| Peripheral neuropathy
|}

=== Uncommon Causes ===

* Trauma or burns
* Infection, including ecthyma (''Strep. pyogenes'') and ecthyma gangrenosum (''Pseudomonas'')
* Vasculopathy
** Vasculitis
** Livedoid vasculopathy
** Thromboangiitis obliterans (Buerger disease)
** Microvascular occlusion disorders: cryoglobulinemia, cholesterol emboli, oxalosis, calciphylaxis
** Sickle cell disease
* Pyoderma gangrenosum
* Panniculitis
* Malignancy
* Drugs
* Brown recluse spider bite

[[Category:Dermatology]]