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Peripheral Vascular Examination: Difference between revisions
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Peripheral vascular disease can mimic musculoskeletal causes of pain. Most patients do not have intermittent claudication but have atypical leg symptoms or no symptoms at all | Peripheral vascular disease can mimic musculoskeletal causes of pain. Most patients do not have intermittent claudication but have atypical leg symptoms or no symptoms at all.<ref>Hirsch AT, Criqui MH, Treat-Jacobson D, et al. Peripheral arterial disease detection, awareness, and treatment in primary care. JAMA. 2001;286(11):1317–1324</ref><ref>McDermott MM, Greenland P, Liu K, et al. Leg symptoms in peripheral arterial disease. associated clinical characteristics and functional impairment. JAMA. 2001;286(13):1599–1606.</ref> Therefore is important for the Musculoskeletal Medicine Doctor to know how to perform a competent peripheral vascular examination. | ||
==Special Tests== | ==Special Tests== | ||
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*Interpretation | *Interpretation | ||
**≤0.9 is PAD | **≤0.9 is PAD | ||
*0.91 - 1.0 is borderline | **0.91 - 1.0 is borderline | ||
*>1.00 - 1.4 is normal | **>1.00 - 1.4 is normal | ||
== References == | == References == | ||
[[Category:Examination]] | [[Category:Examination]] | ||
Latest revision as of 15:36, 1 August 2021
This article is a stub.
Peripheral vascular disease can mimic musculoskeletal causes of pain. Most patients do not have intermittent claudication but have atypical leg symptoms or no symptoms at all.[1][2] Therefore is important for the Musculoskeletal Medicine Doctor to know how to perform a competent peripheral vascular examination.
Special Tests
Ankle Brachial Pressure Index
- The patient should lie in a supine positive for 5 minutes before measurement
- Upper limb measurement
- Place the cuff in the usual fashion
- Inflate the cuff to 20 mmHg above systolic arterial pressure
- Record the pressure using a doppler device by placing it over the brachial artery
- Lower limb measurement
- Place the cuff above the malleoli
- Place the doppler probe over the posterior tibial and dorsal pedal arteries
- The ABP is the highest systolic pressure value of the lower limbs divided by the higher of the brachial artery pressures
- Interpretation
- ≤0.9 is PAD
- 0.91 - 1.0 is borderline
- >1.00 - 1.4 is normal
References
- ↑ Hirsch AT, Criqui MH, Treat-Jacobson D, et al. Peripheral arterial disease detection, awareness, and treatment in primary care. JAMA. 2001;286(11):1317–1324
- ↑ McDermott MM, Greenland P, Liu K, et al. Leg symptoms in peripheral arterial disease. associated clinical characteristics and functional impairment. JAMA. 2001;286(13):1599–1606.
