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

Gerard Kiernan, MD, FAAFP, FHMClinical Pearls, Emergency Medicine, Family Medicine, Guideline Knowledge Check, Internal Medicine, Nurse Practitioner, Nursing RN/PN, Pediatric Emergency Medicine, Pediatric Medicine, Personal Education, Physician Assistant, Urgent Care

Vascular Dermatoses - Ulceration On Lower Extremity After Mild Trauma - Clinical Patient 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 course, part of Med-Challenger's library of board exam review and CME question banks.

For more free clinical knowledge review questions, subscribe to the Med-Challenger Medical Education Blog

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

See the Answer:

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This case is a sample from the following Med-Challenger exam prep and continuing medical education package.

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