Histopathological Study of Neoplastic and Non- neoplastic ...
Classification Vascular → arterial → Lymphatic → Venous Infection → Chronic Osteomyelitis...
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Transcript of Classification Vascular → arterial → Lymphatic → Venous Infection → Chronic Osteomyelitis...
![Page 1: Classification Vascular → arterial → Lymphatic → Venous Infection → Chronic Osteomyelitis TB,Syphilis Systemic DM, Sickle cell anemia Neoplastic Sq.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b0e2d5503465e7d8b5eeb/html5/thumbnails/1.jpg)
![Page 2: Classification Vascular → arterial → Lymphatic → Venous Infection → Chronic Osteomyelitis TB,Syphilis Systemic DM, Sickle cell anemia Neoplastic Sq.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b0e2d5503465e7d8b5eeb/html5/thumbnails/2.jpg)
![Page 3: Classification Vascular → arterial → Lymphatic → Venous Infection → Chronic Osteomyelitis TB,Syphilis Systemic DM, Sickle cell anemia Neoplastic Sq.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b0e2d5503465e7d8b5eeb/html5/thumbnails/3.jpg)
Classification Vascular → arterial → Lymphatic
→ Venous Infection → Chronic Osteomyelitis
TB,Syphilis
Systemic DM, Sickle cell anemia Neoplastic Sq. cell carcinoma ,
Melanoma Metastatic Traumatic Radiation
![Page 4: Classification Vascular → arterial → Lymphatic → Venous Infection → Chronic Osteomyelitis TB,Syphilis Systemic DM, Sickle cell anemia Neoplastic Sq.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b0e2d5503465e7d8b5eeb/html5/thumbnails/4.jpg)
Classification
![Page 5: Classification Vascular → arterial → Lymphatic → Venous Infection → Chronic Osteomyelitis TB,Syphilis Systemic DM, Sickle cell anemia Neoplastic Sq.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b0e2d5503465e7d8b5eeb/html5/thumbnails/5.jpg)
Pathogenesis
Venues 40% arterial 20% others 40%
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Venous Ulcer
Pathogenesis :-
Venous hypertension ------ 1 ry reflux 70% ( genetic)
------ 2 ry reflux 30%
(DVT) W.B.C activation V. Hypertension Or
Fibrin Cuff
Dermatolibosclerosis ulcerationulcer
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Diagnosis
History up to 35% of the adult
population have some of the following V. Disease , DM, T.B, tumour ……… etc.
General exam ------ Anaemia (healing)
------- Jundice (tumour )
Local exam Site , Size , Shape and Edge.
![Page 8: Classification Vascular → arterial → Lymphatic → Venous Infection → Chronic Osteomyelitis TB,Syphilis Systemic DM, Sickle cell anemia Neoplastic Sq.](https://reader035.fdocuments.us/reader035/viewer/2022062620/551b0e2d5503465e7d8b5eeb/html5/thumbnails/8.jpg)
Investigations
General: C.B.P, W.B.C, E.S.R, C.R.P.…
Specific: according to the primary diagnosis
Vascular Duplex Infective C & S
Neoplastic Biopsy
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Investigation
Duplex Study Arteriography Plethysmogaphy Ascending Phlebography Descending CT Scan Isotope – scanning MRA
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Treatment
General Treatment
Conservative
Topical Therapy
Surgical Reconstructive
Debridement
Skin graft
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Treatment
Conservative Bed rest + limb elevation
( effective therapy but impractical ) Drugs-------- Zinc
------- Pentoxiphylline
------- I.v. prostaglandin
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Treatment
•Gradient compression =Dynamic ( unna boot )
=Static: -
Stocting , - Multilayered elastic
wrapped dressing
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Treatment
Sclerotherapy: Foam injection
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Treatment
Surgical V Vs surgery:
• High tie
• Stripping
• Perforators ligation
• Multiple avulsions
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Treatment
Arterial bypass. Debridment. Skin Graft.
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