Document Detail


Arterial disease ulcers, part 1: clinical diagnosis and investigation.
MedLine Citation:
PMID:  25133344     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
PURPOSE: To provide information regarding the clinical diagnosis, assessment, and investigations related to arterial disease ulcers of the lower extremity.
TARGET AUDIENCE: This continuing education activity is intended for physicians and nurses with an interest in skin and wound care.
OBJECTIVES: After participating in this educational activity, the participant should be better able to:1. Describe the etiology and pathophysiology of peripheral arterial disease (PAD) and arterial ulcers.2. Identify the clinical features of PAD and arterial ulcers as a result of arterial insufficiency of the lower limb.3. Compare assessment modalities to determine the extent of arterial insufficiency and appropriate interventions.
ABSTRACT: Arterial disease (peripheral vascular disease) is the result of narrowing of the blood vessel lumen. The classic clinical signs need to be recognized early before progression to arterial predominant disease and limb ischemia. Arterial ulcers or tissue breakdown can result from trauma, infection, or other etiologies with diabetes, smoking, increasing age, and hypertension the most important risk factors. Diagnostic testing starts with a palpable pulse with special investigation including handheld Doppler for ankle brachial pressure index ratios, segmental duplex leg Doppler waveforms, and more specialized procedures, including transcutaneous oxygen saturation.
Authors:
Gregory Ralph Weir; Hiske Smart; Jacobus van Marle; Frans Johannes Cronje
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Advances in skin & wound care     Volume:  27     ISSN:  1538-8654     ISO Abbreviation:  Adv Skin Wound Care     Publication Date:  2014 Sep 
Date Detail:
Created Date:  2014-08-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100911021     Medline TA:  Adv Skin Wound Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  421-8     Citation Subset:  N    
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