The non-healing leg ulcer: A logical approach

Abstract

A woman, aged 75 years, presented with recurrent lower limb ulcers spanning three decades and bilateral lower limb swelling (Figure 1). Past medical history included deep vein thrombosis (DVT), type 2 diabetes, hypothyroidism, obesity, chronic back pain, osteoarthritis and depression. The woman was homebound and socially isolated but mobilised with a four-wheeled walker. The patient was admitted to hospital for management following unsuccessful treatment in the community with home nurse visits under general practitioner supervision. QUESTION 1What is the primary diagnosis?QUESTION 2