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VaricoseEczema-Ulcers
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<<forEachTiddler where 'tiddler.tags.contains(context.inTiddler.title)' sortBy tiddler.title ascending write '"*[["+tiddler.title+"]]\n"'>> <<tiddler AutoRefresh with: force>> Arterial ulcers - 'punched-out' appearance. typically seen above medial malleolus ''Investigations'' ankle-brachial pressure index (ABPI) to assess arterial flow (cause of poor ulcer healing) - normal 0.9-1.2 <0.9 - arterial disease <1.3 arterial disease (false negative secondary to arterial calcification (eg diabetics) ''Management'' compression bandaging, usually four layer (only treatment shown to be of real benefit) oral pentoxifylline, a peripheral vasodilator, improves healing rate small evidence base supporting use of flavinoids little evidence to suggest benefit from hydrocolloid dressings, topical growth factors, ultrasound therapy and intermittent pneumatic compression
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Eczema