Peripheral arterial disease physical examination: Difference between revisions
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*[[Bruits]] can be heard over the sites of arterial narrowing. | *[[Bruits]] can be heard over the sites of arterial narrowing. | ||
*[[Auscultation]] of the abdomen and flank for bruits. | *[[Auscultation]] of the abdomen and flank for bruits. | ||
*Auscultation of both femoral | *Auscultation of both [[femoral arteries]] for the presence of bruits | ||
===Extremities=== | ===Extremities=== |
Revision as of 15:31, 30 September 2012
Peripheral arterial disease Microchapters |
Differentiating Peripheral arterial disease from other Diseases |
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Diagnosis |
Treatment |
Case Studies |
AHA/ACC Guidelines on Management of 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 Acute Limb Ischemial in Lower Extremity PAD |
Guidelines for Longitudinal Follow-up for Lower Extremity PAD |
Peripheral arterial disease physical examination On the Web |
American Roentgen Ray Society Images of Peripheral arterial disease physical examination |
Peripheral arterial disease physical examination in the news |
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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Overview
Physical Examination
Vitals
- Decreased or absent pulses
- Palpation of the carotid pulses and notation of the carotid upstroke and amplitude and presence of bruits.
- Palpation of the pulses at the brachial, radial ulnar, femoral, popliteal, dorsalis pedis, and posterior tibial sites. Performance of Allen’s test when knowledge of hand perfusion is needed.
- Pulse intensity should be recorded numerically:
- 0, absent
- 1, diminished
- 2, normal
- 3, bounding
- Measurement of blood pressure in both arm and notation of any inter arm asymmetry.
Skin
- Pallor of feet with elevation
- Signs of chronic ischemia:
- Dependent rubor
Auscultation
- Bruits can be heard over the sites of arterial narrowing.
- Auscultation of the abdomen and flank for bruits.
- Auscultation of both femoral arteries for the presence of bruits
Extremities
- Muscle atrophy

(Image courtesy of Charlie Goldberg, M.D.)