PVD

Can you answer:

  1. What is intermittent claudication?
  2. How to measure ABPI?
  3. Uses of ABPI?
  4. How to prepare for CTA?

✅ History taken
✅ Class by Consultant
⭕ Read Bailey

✅ ⭕


Format


Specific Symptoms

  1. Type of Claudication (Arterial, Venous, Neurogenic)
  2. If arterial, Caludicant or critical ischaemia (rest pain [pain at night] or ulcers)
  3. Progression
  4. Site
  5. Risk factors
  6. Other systems

Hx of Present Complaint (D-SAC)

  • SOCRATES-P
  • Aetiology (risk factors, family hx)
  • Complications (Local, locoregional and distant spread)

History

Mr. Jamis … ?


Examination

General ….


Ix and Mx

  • Investigations

ABPI

Video available at PWCM –> Stanford –> ABPI

https://stanfordmedicine25.stanford.edu/the25/ankle.html

ABPI Uses – https://bpac.org.nz/bpj/2014/april/ankle-brachial.aspx

CT Angiogram

  • Management

Critical Limb Ischaemia (Rest pain or tissue loss) needs Intervention.


Theory

  • Anatomy
  • Physiology
  • Pathology

 

References

Fontaine classification : https://www.researchgate.net/figure/Leriche-fontaine-classification_tbl2_257531839