d.Perform an ankle brachial index (ABI) on all patients with leg ulcers. Recheck the ABI periodically (every 3 months) for patients with non-healing lower extremity ulcers. Level of Evidence = C
e.Assess the lower extremity skin changes for edema, hemosiderin staining, venous dermatitis, atrophie blanche, varicose veins, ankle flaring, scarring from previous ulcers, lipodermatosclerosis, and elevated temperature. (See Appendix C in original guideline document on types of edema.)
f.Assess for ulcer complications: cellulitis, gangrene, and osteomyelitis.