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A Question a day (W2D6)

1. Edge- Punched out

Base- Mildly purulent, necrotic with yellow fibrous tissue


Surrounding- Skin is dry, shiny & taut

2. Local factor- Ulcer at the distal 1/3 of the leg above lateral malleolus

Systemic- Chronic diabetes mellitus

3. ABPI of right leg = right dorsalis pedis /left brachial =85/140=0.61

Right dorsalis pedis chosen becuz its the higher of the two ankle pressures, left brachial chosen
becuz its the higher of the 2 brachial systolic pressure.