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Venous Ulcer — RACP Adult Medicine MCQ

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EasyCardiologyVenous UlcerRACP Adult Medicine

A 55-year-old obese woman presents with a large shallow ulcer on the medial malleolus (gaiter area) with irregular margins. The surrounding skin shows haemosiderin staining, lipodermatosclerosis, and varicose eczema. Peripheral pulses are present and ABPI is 1.1. What is the most likely type of ulcer?

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Correct answer: C — Venous ulcer

Large shallow ulcer in the gaiter area (medial malleolus) with surrounding haemosiderin staining, lipodermatosclerosis, and eczema with normal ABPI is a venous ulcer. Management includes compression bandaging (ABPI >0.8 must be confirmed first), leg elevation, wound care, and treatment of underlying venous insufficiency.

Reference: eTG Dermatology – 2024 – Venous Ulcers; NICE 2024