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ARTICLE |

Leg Ulcers: A Practical Approach to Management

ATEF A. SALAM, MD
Arch Surg. 1992;127(7):869. doi:10.1001/archsurg.1992.01420070137029.
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ABSTRACT

This is a practical and clinically oriented guide to the management of the challenging problem of leg ulcers.

In part 1, the text begins with an interesting note on the historical background of the diagnosis and management of venous and ischemic ulcers. This is followed by an account on the epidemiologic aspects of the problem in which its extent in the United States and Europe is outlined. Next, venous anatomy and relevant embryology are discussed, with particular emphasis on their clinical implications. The next two chapters are devoted to the physiology of the muscle pumps of the lower limbs and the pathophysiology of leg ulcers, with reference to the venous disorders responsible for ulceration. The chapter concludes with a note on current theories of the mechanisms of impairment of the microcirculation in venous ulcers.

Part 2 of the book is directed to the practical management of leg ulcers. This begins

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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