84 year old man with a history of lymphoma but is purportedly disease free. Severe peripheral edema began 2 years ago. He says he developed this very large ulcer after minor trauma. His skin perfusion pressure is normal (68 mmHg), he has a biphasic PVR and strong DP and PT pulses. A biopsy was negative for malignancy. He’s lost 20 lbs over the past year since his chemotherapy.
A year ago he began complaining to his PCP that he felt generally weak. Exam reveals muscle wasting. A dietary history confirms that he eats almost no protein and his self-care has been poor since his wife died. He was started on vitamins, zinc, L-Arginine, and protein supplements. He underwent debridement, moist wound care and compression bandaging. This is the change in the ulcer over 8 weeks.
Dr. Fife is a world renowned wound care physician dedicated to improving patient outcomes through quality driven care. Please visit my blog at CarolineFifeMD.com and my Youtube channel at https://www.youtube.com/c/carolinefifemd/videos
The opinions, comments, and content expressed or implied in my statements are solely my own and do not necessarily reflect the position or views of Intellicure or any of the boards on which I serve.
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