Ulcus cruris, acute phlebitic I80.8
Definition
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Very painful, usually freshly formed ulcer in acute thrombophlebitis.
Clinic
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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.
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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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- Antiphlogistics such as acetylsalicylic acid (e.g. ASS) 3 times/day 500-1000 mg p.o., diclofenac (e.g. Voltaren) 2 times/day 50 mg, indometacin (e.g. Indomet-ratiopharm Supp.) 1-2 times/day 1 Supp.
- For bedridden patients: compression therapy, low-dose heparinisation, ulcer therapy appropriate to the stage of the disease (see under wound treatment).
Operative therapie
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If possible, stab incision in LA (e.g. chlorethyl icing) and expression of the thrombus.
Incoming links (1)
Venous leg ulcer;Outgoing links (10)
Acetylsalicylic acid; Anti-inflammatories; Compression therapy; Heparin; Indomethacin; Leg ulcer; Local anesthesia; Short-stretch bandages; Ulcer of the skin (overview); Wound treatment;Disclaimer
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