Peripheral arterial system – Clinical Examination

 

Peripheral arterial system

Inspection

Color changes

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Trophic changes and Tissue loss (Ulcer / Gangrene)and tissue loss

  1. Pressure areas and between toes (Ischemic ulceration – Gangrene)
  2. Skin and appendages (Temperature – Loss of hair – Loss of sebaceous and sweat glands – Dry skin – Deformed and brittle nails – Loss of nail luster – Xanthelesmata and xanthomata)
  3. Subcutaneous tissues (Loss of subcutaneous fat – Thin skin – Tapered toes)
  4. Venous guttering
  5. Muscles and tendons (Wasted muscle)
  6. Bones and joints (Osteoporosis)
Vascular angle (Buerger’s Angle)

Palpation

  1. Temperature (and tenderness)
  2. Capillary refill
  3. Peripheral pulses

Complete 

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