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    Vascular Dermatoses - Ulceration on Lower Extremity - Case of the Week

    Vascular Dermatoses, Ulceration on Lower Extremity - Clinical Patient Case of the Week

    Try this free Vascular Dermatoses Case Q&A courtesy of Med-Challenger.

    This vascular disorders of the eye case comes from our Family Medicine review course.

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    Try this case and test your knowledge of vascular dermatoses.

    A 54-year-old man with a history of obesity, diabetes mellitus, and hypertension has an ulceration on his right lower extremity after minor trauma (see Figure).

    Vascular Dermatoses - Ulceration On Lower Extremity After Mild Trauma - Clinical Patient Case of the Week

    He has been applying topical bacitracin ointment, but he tells you that the ulceration is still not healing.

    He has some pain during dressing changes.

    You note a moderate amount of serous drainage.

    He has no fever or chills.

    Question:

    What is the best management for this patient's ulceration?

    Answer Options:

    Leave wound open to the air, obtain culture, and start empiric antibiotics

    Excisional debridement

    Cover wound with dressing, check ankle-brachial index, and continue topical bacitracin

    Cover wound with dressing and compression therapy

     

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