Does Venous Reflux a Venous Ulcer Make?

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* 1. How many years have you been practicing wound care?

1 - 3

3 - 10

10+

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* 2. At an initial patient visit, do you feel comfortable making the diagnosis of a venous ulcer based on patient history, clinical appearance and a normal arterial screening exam?

Yes

No

Not Sure

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* 3. Do you feel that the diagnosis of a venous ulcer must wait until formal venous Duplex scanning has been performed?

Yes

No

Not Sure

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* 4. Can a lower extremity ulcer be confidently diagnosed as venous because the arterial screen is normal and the venous Duplex is abnormal?

Yes

No

Not Sure

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* 5. Are there clinical criteria that could allow you to say with confidence that a particular leg ulcer is NOT venous (e.g. pathergy, tendon exposure, violaceous borders, etc.)?

Yes

No

Not Sure

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* 6. Do you perform some objective method of arterial screening on every patient with a lower extremity ulcer, preferably in your office/clinic (e.g. ABI, transcutaneous oxygen, skin perfusion pressure)?

Yes

No

I take the 5th amendment when it comes to my commitment to universal arterial screening.

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* 7. What lesions are you most likely to refer to a venous expert?

I refer all patients with lower extremity ulcers to a venous expert for evaluation.

I refer for evaluation the patients I diagnose with venous ulcers based on clinical assessment.

I never refer patients to a venous expert.

I don’t know how to select patients for referral to a venous expert.