Case:Leg Pain 001: Difference between revisions
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referral orthopaedics for MRI scan and consideration of injection or operative treatment if diagnosis confirmed. | referral orthopaedics for MRI scan and consideration of injection or operative treatment if diagnosis confirmed. | ||
=Imaging= | =Imaging 1= | ||
Review. | Review. | ||
Pain getting progressively worse | Pain getting progressively worse | ||
Line 50: | Line 50: | ||
no spinal tenderness | no spinal tenderness | ||
=Follow Up= | |||
Here for ABPI measurement | |||
symptoms deteriorating | |||
can only walk 50 metres if that. | |||
vascular examination: | |||
- left side: unable to feel femoral, popliteal, DP or PT pulses | |||
- right side: weak femoral pulses, can't feel popliteal, weak DP and PT pulses | |||
ABPI | |||
- right: 1.29 | |||
- left: 0.78 (symptomatic side) | |||
ABPI data: | |||
Left brachial: 122/80 | |||
Right brachial: 122/60 | |||
Left DP: 96 | |||
Left PT 96 | |||
Right DP: 110 | |||
Right PT 158 | |||
A: Peripheral vascular disease | |||
P: refer vascular surgery | |||
=Imaging 2= | |||
MRI angiogram - severe stenosis left iliac artery | |||
=Management= | |||
Left distal CIA stenosis treated with 8mm Shockwave IVL and 9 x 59 Omnilink | |||
Elite stent | |||
Doing much better | |||
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[[Category:Case Histories]] | [[Category:Case Histories]] |