A regular Monday in cardiology clinic today.

Doc: What brings you to clinic today ?
Pt: I have a small ulcer in my leg.
Doc: ok, can I see ?
Pt: unwraps the bandage ⤵️
Doc: 😱😲🤯

#NeverADullDay
This slide with various ulcer types. Often there is a mixed picture. #ACCFIT #AHAFIT #cardiotwitter
2/n Sharing some important slides on pathophysiology of each subgroup.

Hemodynamic alterations in PAD
Top, A healthy arterial bed w/ N large vessel & microcirculatory flow characteristics.
Bottom, Artery with atherosclerotic occlusive disease.
@CircAHA https://tinyurl.com/y9okl257 
3/n Chronic Venous insufficiency - Venous stasis ulcer

@bmj_latest paper explained the pathophysiology nicely.

https://tinyurl.com/yb7vkfaq 
4/n Diabetic ulcers are the worst. This slide from #Antibiotic journal explain it well.

2 main predisposing factor: angiopathy and neuropathy. Triggers - intrinsic (foot deformity), extrinsic triggers like trauma (mechanical, chemical or thermal), cause loss of skin integrity
5/n Lastly pressure ulcer. #MedTwitter Do take a look at this slide, courtesy
@yycMDs @thecalgaryguide
You can follow @UjjwalRastogiMD.
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