Peripheral arterial disease physical examination

Peripheral arterial disease Microchapters
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Patient Information
Overview
Classification
Pathophysiology
Causes
Differentiating Peripheral arterial disease from other Diseases
Epidemiology and Demographics
Risk Factors
Screening
Natural History, Complications and Prognosis
Diagnosis
History and Symptoms
Physical Examination
Laboratory Findings
Electrocardiogram
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Case #1
AHA/ACC Guidelines on Management of Lower Extremity PAD
Guidelines for Clinical Assessment of Lower Extremity PAD
Guidelines for Diagnostic Testing for suspected PAD
Guidelines for Screening for Atherosclerotic Disease in Other Vascular Beds in patients with Lower Extremity PAD
Guidelines for Medical Therapy for Lower Extremity PAD
Guidelines for Structured Exercise Therapy for Lower Extremity PAD
Guidelines for Minimizing Tissue Loss in Lower Extremity PAD
Guidelines for Revascularization of Claudication in Lower Extremity PAD
Guidelines for Management of CLI in Lower Extremity PAD
Guidelines for Management of Acute Limb Ischemial in Lower Extremity PAD
Guidelines for Longitudinal Follow-up for Lower Extremity PAD
Peripheral arterial disease physical examination On the Web
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American Roentgen Ray Society Images of Peripheral arterial disease physical examination All Images X-rays Echo & Ultrasound CT Images MRI
Ongoing Trials at Clinical Trials.gov
US National Guidelines Clearinghouse
NICE Guidance
FDA on Peripheral arterial disease physical examination
CDC on Peripheral arterial disease physical examination
Peripheral arterial disease physical examination in the news
Blogs on Peripheral arterial disease physical examination
Directions to Hospitals Treating Peripheral arterial disease
Risk calculators and risk factors for Peripheral arterial disease physical examination

Editors-in-Chief: C. Michael Gibson, M.D., Beth Israel Deaconess Medical Center, Boston, MA; Robert G. Schwartz, M.D. [1], Piedmont Physical Medicine and Rehabilitation, P.A.; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]

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Physical Examination

Vitals

• Decreased or absent pulses

Skin

• Pallor of feet with elevation
• Signs of chronic ischemia:
  • Hair loss, thickened nails, smooth & shiny skin, coolness, pallor or cyanosis
• Dependent rubor

Auscultation

• Bruits can be heard over the sites of arterial compression.

Extremities

• Muscle atrophy

Peripheral Vascular Disease of the Hand: Advanced disease with gangrene of several digits.
(Image courtesy of Charlie Goldberg, M.D.)

References

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