Wound, Ostomy and Continence Nurses Society (WOCN) Practice Exam

How do sickle cell ulcers typically present?

1. In the upper arm with irregular borders

2. In the medial lower third of the leg with slow healing

3. On the face with rapid development

4. On the abdomen with no pain

The correct answer is: In the medial lower third of the leg with slow healing

Sickle cell ulcers typically manifest in the medial lower third of the leg, characterized by a slow healing process. This presentation is primarily due to inadequate blood flow caused by the sickling of red blood cells. The sickled cells can obstruct small blood vessels, leading to ischemia and subsequent ulcer formation in areas that receive less blood supply, such as the legs. The slow healing aspect is notable because ulcers resulting from sickle cell disease are often chronic and may require extensive management. They can be painful and may become infected, further complicating the healing process. This context highlights why the specific location and healing characteristics of the ulcers are critical in understanding their presentation in patients with sickle cell disease.