Leg Ulcers: Venous vs. Arterial vs. Neuropathic – Clinical Differentiation A patient presents with a chronic leg ulcer—how do you quickly determine the cause? Here’s a structured way to differentiate venous, arterial, and neuropathic ulcers based on bedside examination. 1. Venous Ulcer (Most Common Type) 🟢 Pain: Mild, aching pain that worsens on standing and relieves on elevation Location: Medial malleolus (ankle) Appearance: Irregular margins Shallow with granulation tissue Surrounding hyperpi