How To Perform A Thorough Vascular Exam

By Daniel T. Halloran, DPM, Peter A. Blume, DPM, Michael G. Palladino, DPM, and Bauer E. Sumpio, MD, PhD

Given the relatively common prevalence of peripheral vascualr disease and its potential complications in the lower extremity, these authors offer key diagnostic insights with a particular emphasis on non-invasive screening tools. Lower extremity vascular disease is a routine complication with lower extremity wounds, especially in the diabetic population. Peripheral neuropathy and peripheral vascular disease are recognized as contributing factors in lower extremity amputation. It is estimated that more than 5 million people per year experience peripheral vascular disease.1 In 2002, about 82,000 non-traumatic lower limb amputations were performed in people with diabetes.2    Researchers have shown that basic vascular screening is efficacious in the identification of lower limb peripheral arterial occlusive disease, and that clinicians can incorporate this screening in the initial evaluation of the at-risk patient.3 Therefore, a complete evaluation of a patient with lower extremity ulcerations always requires the practitioner to perform a thorough vascular examination.4


Great article

Nice and useful information.

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