ABSTRACT
This chapter presents the case study of a 73-year-old retired dinner lady. A 73-year-old retired dinner lady presents with a 4-week history of a non-healing area on her right leg following trauma from a shopping trolley. She tells that she has ‘suffered from her legs’ for many years now, complaining of long-standing swelling, aching and itching of her lower legs, particularly towards the end of the day. She is a nonsmoker. She has six children. She mentions that her own mother had leg ulcers which never healed. Her only medication is bendroflumethiazide 2.5 milligram per day. The surface of the ulcer has some clean adherent slough and the base shows evidence of granulation tissue, the edges of the ulcer are sloping. The surrounding skin is red-brown colour, it is noticeably shiny and feels tight. Her dorsalis pedis pulses are easily palpable bilaterally. The remainder of her examination is unremarkable.
