3rd July 2023

A 67-year-old woman presents with a 4-month history of an ulcer on the medial aspect of the left leg

A 67-year-old woman presents with a 4-month history of an ulcer on the medial aspect of the left leg. She had a previous deep vein thrombosis in the same leg and has chronic leg swelling. On examination, her legs are oedematous, but the left is more so than the right. There is a large shallow ulcer with surrounding hyperpigmentation of the skin. She feels well in herself and has not had any fevers.

What is the most appropriate initial management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.