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

  • 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

Duplex Examination

A

B


Duplex Examination


Figure 1.4

Duplex Examination


Figure 1.8

MRA


Figure 8.4

Spiral CT


Invasive Examination

  • Transfemoral Angiography

    ( Sildenger technique (


Figure 3.2

Angiogram


Chronic Ischemia

Intermittent claudicating

  • Site: calf ms

  • CD: related to disease severity


Figure 2.2

Figure 2.2


Chronic Ischemia

Treatment: (Medical-PTA- Bypass)

  • Medical

    • Walking

    • Stop smoking

    • Diet control

    • Drugs( aspirin – pletal)


Figure 3.8

Chronic Ischemia

  • Angioplasty


Chronic Ischemia

  • Bypass


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

  • Embolism

    • urgent embolectomy

  • Thrombosis

    • urgent angio

  • Arterial injury

    • urgent reconstruction


Figure 2.1

Acute Ischemia

6Ps

  • Pain

  • Pallor

  • Parathesia

  • Pulseless

  • Progressive coldness

  • Paralysis


Figure 2.2

Acute Ischemia


Acute Ischemia

  • Embolectomy


Figure 2.11

Acute Ischemia

  • Faschiotomy


Figure 2.8

Late Acute Ischemia


Figure 2.6

Arterial Injury


Figure 2.7

Arterial Injury


Abd. Aortic Aneurysm


Surgical ttt

Figure 8.6


Figure 8.7

Abd. Aortic Aneurysm

  • Endovascular ttt


Figure 10.6

Vasculitis


Figure 14.2

Leg Ulcer


Figure 14.4

Arterial Ulcer


Venous Ulcer


Figure 14.3

Neuropathic Ulcer


Figure 11.1

Varicose Veins

Long saph Short saph Superf.


Figure 11.5

Varicose Veins

  • Complications


Varicose Veins

  • Treatment

    • Stocking

    • Sclerotherapy

    • Surgery


Varicose Veins


Figure 12.3

Leg Oedema

DVT

  • Anticoagulant

  • Stocking

  • IVC filter


Leg Oedema

Lymphedema

  • Stocking

  • Elevation


Figure 11.6

Leg Oedema

Cellulitis

  • I V Antibiotics

  • Bed rest

  • Elevation


Carotid Stenosis

  • TIAs

    • Baby asprine

    • Angioplasty

    • Endarterectomy


Figure 5.9

Angioplasty


Endarterectomy


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