Pulse examination
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Pulse Examination . Femoral A Popliteal A Dorsalis pedis A Post tibial A. Figure 3.1. Femoral A. Popliteal A. Figure 3.3. Dorsalis pedis A. Post tibial A. Non-invasive Examination. Doppler Study Duplex Examination MRA Spiral CT. Figure 1.1. Doppler Study. Figure 1.11.

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Pulse Examination

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Pulse examination

Pulse Examination

  • Femoral A

  • Popliteal A

  • Dorsalis pedis A

  • Post tibial A


Femoral a

Figure 3.1

Femoral A


Popliteal a

Popliteal A


Dorsalis pedis a

Figure 3.3

Dorsalis pedis A


Post tibial a

Post tibial A


Non invasive examination

Non-invasive Examination

  • Doppler Study

  • Duplex Examination

  • MRA

  • Spiral CT


Doppler study

Figure 1.1

Doppler Study


Duplex examination

Figure 1.11

Duplex Examination

A

B


Duplex examination1

Duplex Examination


Duplex examination2

Figure 1.4

Duplex Examination


Pulse examination

Figure 1.8

MRA


Spiral ct

Figure 8.4

Spiral CT


Invasive examination

Invasive Examination

  • Transfemoral Angiography

    ( Sildenger technique (


Angiogram

Figure 3.2

Angiogram


Chronic ischemia

Chronic Ischemia

Intermittent claudicating

  • Site: calf ms

  • CD: related to disease severity


Figure 2 2

Figure 2.2

Figure 2.2


Chronic ischemia1

Chronic Ischemia

Treatment: (Medical-PTA- Bypass)

  • Medical

    • Walking

    • Stop smoking

    • Diet control

    • Drugs( aspirin – pletal)


Chronic ischemia2

Figure 3.8

Chronic Ischemia

  • Angioplasty


Chronic ischemia3

Chronic Ischemia

  • Bypass


Critical limb ischemia

Critical Limb Ischemia

  • Definition

    rest pain in the foot of 2 weeks or more with ABI less than 0.5

  • Treatment

    urgent angio and bypass


Acute ischemia

Acute Ischemia

  • Embolism

    • urgent embolectomy

  • Thrombosis

    • urgent angio

  • Arterial injury

    • urgent reconstruction


Acute ischemia1

Figure 2.1

Acute Ischemia

6Ps

  • Pain

  • Pallor

  • Parathesia

  • Pulseless

  • Progressive coldness

  • Paralysis


Acute ischemia2

Figure 2.2

Acute Ischemia


Acute ischemia3

Acute Ischemia

  • Embolectomy


Acute ischemia4

Figure 2.11

Acute Ischemia

  • Faschiotomy


Late acute ischemia

Figure 2.8

Late Acute Ischemia


Arterial injury

Figure 2.6

Arterial Injury


Arterial injury1

Figure 2.7

Arterial Injury


Abd aortic aneurysm

Abd. Aortic Aneurysm


Pulse examination

Surgical ttt

Figure 8.6


Abd aortic aneurysm1

Figure 8.7

Abd. Aortic Aneurysm

  • Endovascular ttt


Vasculitis

Figure 10.6

Vasculitis


Leg ulcer

Figure 14.2

Leg Ulcer


Arterial ulcer

Figure 14.4

Arterial Ulcer


Venous ulcer

Venous Ulcer


Neuropathic ulcer

Figure 14.3

Neuropathic Ulcer


Varicose veins

Figure 11.1

Varicose Veins

Long saph Short saph Superf.


Varicose veins1

Figure 11.5

Varicose Veins

  • Complications


Varicose veins2

Varicose Veins

  • Treatment

    • Stocking

    • Sclerotherapy

    • Surgery


Varicose veins3

Varicose Veins


Leg oedema

Figure 12.3

Leg Oedema

DVT

  • Anticoagulant

  • Stocking

  • IVC filter


Leg oedema1

Leg Oedema

Lymphedema

  • Stocking

  • Elevation


Leg oedema2

Figure 11.6

Leg Oedema

Cellulitis

  • I V Antibiotics

  • Bed rest

  • Elevation


Carotid stenosis

Carotid Stenosis

  • TIAs

    • Baby asprine

    • Angioplasty

    • Endarterectomy


Angioplasty

Figure 5.9

Angioplasty


Endarterectomy

Endarterectomy


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