Registered Nurses' Association of Ontario

Nursing Best Practice Guidelines

Common Feature of Venous Ulcer
  • Irregular borders that are flat and slope into a shallow crater.
  • Loss of epidermis with a dermal base.
  • Base may be covered with yellow fibrin, or ruddy granulation.
  • Ulcer located often over medial malleolus where long saphenous vein is most superficial and has the greatest curvature. In severe cases, ulcers may extend over the circumference of the ankle.
  • Exudates evident and may be minimal to copious.
  • Periwound skin that may be dry, scaly, irritated (stasis dermatitis) or macerated.
  • Edema that may be pitting or firm.