For establishing the cure, the remedy and the procedure to heal a skin ulcer should first proceed with the identification of its main features, the latter can be summarized into two major groups identified by the letters F (framing) and T (treatment) : in the group identified with the letter F will be contained information on the causes, pathogenesis, diagnostic tests performed, staging and grading of the disease. The letter T, on the other hand will provide information on local treatment recommended, useful and complementary therapies on the prognosis.


SKIN ULCERS OF THE LOWER LIMBS OF SUSPECTED VENOUS ORIGIN

SKIN ULCERS OF THE LOWER LIMBS OF SUSPECTED VENOUS ORIGIN

Sector F. To understand the cause of the wound, we must rely on the visit of the specialist who will be able to : 1.Recognize signs and symptoms (location, presence of varicose veins , heaviness , skin color , preferably lying down , etc. ) 2.Prescribe the appropriate diagnostic tests ( Doppler ultrasound , etc. ) 3.Understand the collection of the clinical history ( relapse , genetic predisposition, etc. ) , dimensional inspection of the lesion and any local search microorganisms.

Sector T. To untangle the jungle of local therapies traditional and hi-tech , you will need to turn to health with the proper expertise in the field of “cleaning ” of the lesion , with local dressings and compression bandaging principals of technological and personalized , updated views on the surgery and the possibility to use complementary therapies to help support the healing process such as Pressure , the Bioneurostimolazione ( FREMS ), etc. . A proper framework for diagnostic and therapeutic impact very positively on the prognosis is usually favorable .


SKIN ULCERS OF THE LOWER LIMBS OF SUSPICIOUS ARTERIAL ORIGIN

SKIN ULCERS OF THE LOWER LIMBS OF SUSPICIOUS ORIGIN BLOOD  

Sector F. To understand the root cause of the injury, must be based on the visit to the specialist who will be able to : 1.Recognize signs and symptoms (location, thermotouch , color and appearance of the skin and skin appendages , local pain, etc. ) 2.Prescribe the appropriate diagnostic tests ( Doppler ultrasound , arteriography , trans -cutaneous oximetry , etc. ) . 3.Understand gravity through the collection of medical history ( previous episodes of myocardial ischemia district type , TIA , pain on walking , etc. ) , dimensional inspection of the lesion and any local search microorganisms.

Sector T. To avoid losing the road between the advice of acquaintances and ” I heard him say .. ” you will need to contact a specialist in Wound Care with established knowledge of soft cleansing of the wound, local antibacterial dressings , surgical updated on the landscape invasive and conservative , and the possibility of using complementary therapies to increase the bio- availability of oxygen device such as hyperbaric oxygen therapy , treatment with prostaglandins, the Ozone etc . A framework for timely diagnosis and treatment favorably affect the prognosis that may still remain critical .


SKIN ULCERS OF THE LOWER LIMBS OF SUSPICIOUS ORIGIN ARTERIOVENOUS

SKIN ULCERS OF THE LOWER LIMBS OF SUSPICIOUS ORIGIN arteriovenous

Sector F. The incidence of these lesions is significantly increasing and pitfalls of the real understanding of the causes of injury are numerous, we must therefore refer to those who deal with vulnology for many years that will:

  • Recognize the mix of signs and symptoms (location, thermotouch , color and appearance of the skin and skin appendages , local pain, etc.) .
  • Prescribe the appropriate diagnostic tests ( Doppler ultrasound , arteriography , trans -cutaneous oximetry , etc. ) .
  • Assess the severity and staging through the collection of the clinical history ( arterial disease , myocardial infarction, TIA , previous episodes of thrombophlebitis / IV thrombosis , pain on walking , etc. ), dimensional inspection of the lesion and any local search microorganisms.

Sector T. In order not to run into therapies suitable for an apparatus and improper for the other, you will need to contact a specialist in Wound Care with deep knowledge of cleansing light of the injury, local antibacterial dressings , updated on invasive surgical and conservative views and the possibility of use complementary therapies to increase the bio-availability device such as oxygen Bioneurostimolazione ( FREMS ) , the hyperbaric Oxygen Therapy , treatment with prostaglandins, the Ozone , the custom Elastic compression bandage , etc. . A rational classification of the causes can shed light on the different penetration of the characters of the individual case .


SKIN ULCERS OF THE LOWER LIMBS OF SUSPECTED INFLAMMATORY OR ORIGIN IMMUNE-MEDIATED

immune-mediated

Sector F The detection of these lesions is increasing, vasculitic ulcers are also referred to highlight the relevance of the inflammatory and vascular Vulnologo the will: • Identify the signs and symptoms (color and appearance of the skin, facies , local pain, etc. ) both locally and systemically. • Prescribe the appropriate diagnostic tests ( blood search for autoantibodies , Doppler ultrasound , biopsy of the lesion for histological examination , etc. ) . • Assess severity through the collection of the clinical history ( family history of injury, concomitant autoimmune disease , prior systemic therapies , etc), the dimensional inspection of the lesion and any local search microorganisms.

Sector T To calibrate the local therapy with the systemic one , you will need to contact a specialist in the treatment of skin ulcers and microcircolopatiche able to choose a suitable cleaning of the wound, the dressing rooms and interactive little aggressive , updated on the possibility of using complementary therapies to combat local pain such as Bioneurostimolazione ( FREMS ) , the CRM therapy , etc. . A correct diagnosis and therapy favorably affect the prognosis that may still remain critical


 PRESSURE ULCER

SKIN ULCERS FROM DECUBITUS - WOUND PRESSURE (LDP)

Sector F. To understand the causes of systemic and local lesion , we must rely on the specialist’s visit , bearing in mind the scale of risk for the development of the LDP (Norton , Braden Q, etc. ) , it must first of all: • Evaluate the forced positions of the body and correct them. • Plan a program of discharge weight ( implementable by healthcare professionals and caregivers ) from the surface on which the body rests ( bed , wheelchair, chair, etc. ) . • Identify any nutritional deficiencies and integrate them. • Carry out a careful examination of the skin and visible mucous membranes are looking for other potential injuries . • Collect a detailed medical history and next , in addition the vulnologo will : – Define the stage and degree of severity of injury based on the patient’s age , location , number of ulcers, the presence of principals pressing on the skin, forced decubitus , the presence of restraints bone associated pathologies , etc. . – Prescribe the appropriate diagnostic tests for staging depth (MRI, CT , PET, scintigraphy with labeled leukocytes , etc. ) and suitable surfaces to counteract the evolution of the lesion. – Understanding the severity of the disease through a multidimensional assessment , physical examination of the lesion , the protection of intact skin budget and any local search microorganisms.

Sector T. To avoid local and systemic complications will need to deal with the pressure sores with proper expertise in terms of technological cleansing of the wound, dressing rooms and additional hi-tech aids such as Negative Pressure locally, the Hyperbaric Oxygen Therapy, etc.. The knowledge of long-term results obtained with conservative treatments for each stage of severity, will form the basis for deciding whether a combined medical and surgical therapy ( local flaps , free flaps , etc. ) . An appropriate staging , using the stairs of gravity available , along with a proper framework for therapeutic favorably affect the prognosis.


ACUTE WOUNDS OF COMPLEX ENDS

ACUTE WOUNDS OF COMPLEX ENDS

Sector I. To determine the actual depth of the lesion and the level of involvement of anatomical structures underlying the visit of the specialist vulnologo be addressed to: • Assess the type ( mechanical, thermal , mixed) and intensity ( type of trauma – car accident , explosion, gunshot or stabbing , etc. ) of the applied energy . • Recognize signs and symptoms of trauma ( tissue necrosis , burned areas , etc. ) . • Prescribe the appropriate diagnostic tests ( ECO soft tissues , MRI , CT , Doppler ultrasound , etc. ) . • Understand the gravity of history through the collection of events ( the accident , the state of consciousness of the pieces , etc. ) , dimensional inspection of the lesion and any local search microorganisms.

Sector T. In order to obtain a faster recovery and better functional and aesthetic of the injury, you will need to contact figures with the proper expertise in the field of local dressings and provide operating technologically advanced , with updated views in the surgery field and the possibility of using complementary therapies that promote the process of healing such as platelet gel , the Negative Pressure locally, the hyperbaric Oxygen Therapy , the Bioneurostimolazione ( FREMS ), etc. . A proper framework for diagnostic and therapeutic impact very positively on prognosis .