Wound Care for Livedoid Vasculopathy More Effective with Wound EMR

Livedoid vasculopathy is a chronic vascular disorder with persistent painful ulceration of the lower extremities. There is an increased incidence for this condition during winter and summer. This condition chiefly occurs on the lower leg or foot. Mostly, middle-aged women suffer from this condition, which leaves behind a scar tissue. Proper wound care is essential for patients having livedoid vasculopathy. Appropriate wound dressing can promote an environment conducive for healing, which along with compression therapy can bring about dramatic improvement in patients. Diagnostic challenges are the major impediment to appropriate wound care and accurate and complete history and physical examination (H&P) reports are crucial to overcome those challenges.

There are many diagnostic challenges associated with livedoid vasculopathy such as:

  • Nebulous etymology
  • Broad differential diagnosis of leg ulceration and atrophie blanche
  • Concomitant systemic coagulopathies
  • Lack of standard treatment guidelines

These challenges result in under-diagnosis and inappropriate management of the disorder. A thorough clinical history will include accurate details of the patient’s symptoms, how long the patient has been suffering from this condition and whether the condition worsened due to any reason. This will help to rule out other common causes for atrophie blanche and definitively diagnose livedoid vasculopathy.

Laboratory tests and imaging are not particularly useful for diagnosing this condition. Biopsy is considered to be the most helpful diagnostic tool. This will probably show up multiple things such as:

  • Hyalinized/vascular changes of the subintimal layer of dermal blood vessels
  • Endothelial proliferation
  • Fibrin deposition
  • Intraluminal thrombosis
  • Mild perivascular lymphocytic infiltrations

However, biopsy sites often require a prolonged healing time and therefore repeated biopsies are discouraged. In any way, a thorough physical examination report will show the results of biopsies in an accurate and legible manner to wound care physicians so that they can diagnose livedoid vasculopathy, determine how severe the condition is and decide on the appropriate type of dressing to heal the wound.

Need for Wound EMR

Proper documentation of history and physical examination helps physicians to diagnose livedoid vasculopathy correctly and provide effective treatment. However, if you are using general EMR to document history and physical examination details, you may not be able to exploit the actual potential of these reports. The chances for making errors are more and there may be delay in entering and accessing details at times of need. This is because general EMR is cluttered and you may need to search a lot to find templates specifically related to wounds and enter/access the necessary details. When you are too busy, you may even end up entering the details into the wrong fields.

If you have a wound EMR, you can address these problems smoothly. As this is a specialty EMR designed exclusively for wound care, only wound-specific templates are there, which makes it easier to identify the desired field and enter/access the details quickly. There is lesser chance for errors if there are templates only related to wound care. Wound EMR system supported with a physician and nurse interface can improve the communication between the wound care team and further enhance the quality of wound care.