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Pulse Examination

Pulse Examination

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Pulse Examination

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  1. Pulse Examination • Femoral A • Popliteal A • Dorsalis pedis A • Post tibial A

  2. Figure 3.1 Femoral A

  3. Popliteal A

  4. Figure 3.3 Dorsalis pedis A

  5. Post tibial A

  6. Non-invasive Examination • Doppler Study • Duplex Examination • MRA • Spiral CT

  7. Figure 1.1 Doppler Study

  8. Figure 1.11 Duplex Examination A B

  9. Duplex Examination

  10. Figure 1.4 Duplex Examination

  11. Figure 1.8 MRA

  12. Figure 8.4 Spiral CT

  13. Invasive Examination • Transfemoral Angiography ( Sildenger technique (

  14. Figure 3.2 Angiogram

  15. Chronic Ischemia Intermittent claudicating • Site: calf ms • CD: related to disease severity

  16. Figure 2.2 Figure 2.2

  17. Chronic Ischemia Treatment: (Medical-PTA- Bypass) • Medical • Walking • Stop smoking • Diet control • Drugs( aspirin – pletal)

  18. Figure 3.8 Chronic Ischemia • Angioplasty

  19. Chronic Ischemia • Bypass

  20. 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

  21. Acute Ischemia • Embolism • urgent embolectomy • Thrombosis • urgent angio • Arterial injury • urgent reconstruction

  22. Figure 2.1 Acute Ischemia 6Ps • Pain • Pallor • Parathesia • Pulseless • Progressive coldness • Paralysis

  23. Figure 2.2 Acute Ischemia

  24. Acute Ischemia • Embolectomy

  25. Figure 2.11 Acute Ischemia • Faschiotomy

  26. Figure 2.8 Late Acute Ischemia

  27. Figure 2.6 Arterial Injury

  28. Figure 2.7 Arterial Injury

  29. Abd. Aortic Aneurysm

  30. Surgical ttt Figure 8.6

  31. Figure 8.7 Abd. Aortic Aneurysm • Endovascular ttt

  32. Figure 10.6 Vasculitis

  33. Figure 14.2 Leg Ulcer

  34. Figure 14.4 Arterial Ulcer

  35. Venous Ulcer

  36. Figure 14.3 Neuropathic Ulcer

  37. Figure 11.1 Varicose Veins Long saph Short saph Superf.

  38. Figure 11.5 Varicose Veins • Complications

  39. Varicose Veins • Treatment • Stocking • Sclerotherapy • Surgery

  40. Varicose Veins

  41. Figure 12.3 Leg Oedema DVT • Anticoagulant • Stocking • IVC filter

  42. Leg Oedema Lymphedema • Stocking • Elevation

  43. Figure 11.6 Leg Oedema Cellulitis • I V Antibiotics • Bed rest • Elevation

  44. Carotid Stenosis • TIAs • Baby asprine • Angioplasty • Endarterectomy

  45. Figure 5.9 Angioplasty

  46. Endarterectomy