Ulcus cruris, acute phlebitic I80.8

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Very painful, usually freshly formed ulcer in acute thrombophlebitis.

Clinical features
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Fresh, usually small, strongly secreting ulcer in a highly red, inflammatory changed environment. Here, coarse, overheated strands are detectable as an expression of the acute phlebitis. Severe pain throughout the leg, even at night.

General therapy
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Mobilization: 3 times a day for 30 minutes at night, elevation of the affected limb.

Remember! In thrombophlebitis, immobilization of the patient is contraindicated!

External therapy
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Compression therapy with elastic short-stretch bandages (e.g. Pütter bandage), compression bandages that are self-adhesive on the thigh (e.g. Acrylastic, Tricoplast).

Internal therapy
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Operative therapie
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If possible, stab incision in LA (e.g. chlorethyl icing) and expression of the thrombus.

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Venous leg ulcer;

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Last updated on: 29.10.2020