A 65-year-old man presents with a non-healing ulcer on his lower leg. He has a history of chronic venous insufficiency. Examination reveals a shallow,...

Question

A 65-year-old man presents with a non-healing ulcer on his lower leg. He has a history of chronic venous insufficiency. Examination reveals a shallow, exudative ulcer above the medial malleolus with surrounding haemosiderin pigmentation and oedema. Peripheral pulses are palpable. What is the most appropriate first-line management?

Accepted Answer

High-pressure compression bandaging after excluding significant arterial disease

Answer

Immediate surgical debridement and skin grafting

Answer

Long-term systemic antibiotics

Answer

Below-knee amputation

Answer

Topical corticosteroids alone

au-amc MCQ (SBA): Venous leg ulcer