1. Peripheral vascular exam
Ben Cross

2. INSPECTION!!!
Palpation
Pulses
Special tests

3. COLOUR

8. 2.Hair loss and shiny legs
TROPHIC CHANGES
1.Pale Skin
2.Hair loss and shiny legs
3.Onychogryphosis
4.Fungal infections

12. Site Edge Exudate Venous Arterial Neuropathic Medial gaiter region
Sloped
Lots
Arterial
Feet/toes/lateral malleolus
Punched out
Little
Neuropathic
Pressure areas
Corny edge

13. SCARS

14. Stand them up

17. Venous eczema

18. Haemosiderosis

19. Lipodermatosclerosis

20. Atrophie Blanche

21. PAD Management Risk factor management= ASPIRIN/STATINS
Re-perfusion surgery= Stenting/bypass grafting
Amputation
PAD Management

22. Non-operative= diet + exercise, compression stockings, limb elevation
Surgical=SFJ ligation, LSV stripping, SPJ ligation
Endovascular=Foam sclerotherapy, Thermal ablation
PVD Management

23. Causes of venous insufficiency
Pelvic masses
Previous DVT

27. Pain
Pale
Pulseless
Perishingly Cold
Paraesthesia
Paralysis