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Short notes on Peripheral Vascular Disease (PVD) 2017 - Dr Mark Burgin

05/06/17. Dr. Mark Burgin BM BCh (oxon) MRCGP considers the elements that should be included in a primer for clinical negligence cases involving Peripheral Vascular disease.

Peripheral vascular disease is atherosclerosis (furring) of the arteries so the leg feels cold, can go white if raised when lying down and there is pain with walking.

Examination of the skin, foot pulses and sensation, capillary refill, areas of tenderness and movement takes about one minute if normal.

Normal pulses do not exclude PVD and an Ankle Brachial Pressure Index (ABPI) should be performed if there are symptoms of pain with walking or leg ulcers. (1)

The importance of the diagnosis is that it indicates that the leg is vulnerable to injury and that other arteries are likely to be involved.

In many cases medical management of the risk factors gives good results but surgical revascularisation results are improving...

Image: public domain

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