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Vascular Surgery

Arterial Disorders I

Ischaemia of the lower limb: the symptoms and signs that localise and grade it, how to distinguish embolic from atherosclerotic occlusion at the bedside, and the investigations that follow.

What this lecture covers

  • Aetiology of lower limb ischaemia
  • Symptoms: claudication to rest pain
  • Signs: ulceration, gangrene, temperature change
  • Venous refilling and arterial pulsations
  • Distinguishing embolic from atherosclerotic occlusion
  • Diagnostic investigations
  • Assessing severity and the threatened limb
  • Principles of management
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