ABC of arterial and venous disease: Ulcerated lower limb

ABC of arterial and venous disease. Ulcerated lower limb.

Venous disease, arterial disease, and neuropathy cause over 90% of lower limb ulcers. It is useful to divide leg ulcers into those occurring in the gaiter area and those occurring in the forefoot because the aetiologies in these two sites are different. At least two aetiological factors can be identified in one third of all lower limb ulcers. Venous ulcers most commonly occur above the medial o...

The assessment of lower limb arterial and venous disease

• Place an appropriately sized cuff around the upper arm • Ensure that the equipment and the arm are at heart level • Locate the brachial pulse and apply ultrasound contact gel • Angle the Doppler probe at 45 o and move the probe to obtain the best signal • Inflate the cuff until the signal is abolished then deflate the cuff slowly and record the pressure at which the signal returns being caref...

ABC of arterial and venous disease. Non-invasive methods of arterial and venous assessment.

In the simplest form of ultrasonography, ultrasound is transmitted as a continuous beam from a probe that contains two piezoelectric crystals. The transmitting crystal produces ultrasound at a fixed frequency (set by the operator according to the depth of the vessel being examined), and the receiving crystal vibrates in response to reflected waves and produces an output voltage. Conventional B ...

ABC of arterial and venous disease. Acute stroke.

Acute stroke is now a treatable condition that deserves urgent specialist attention. Drug treatment and specialist care both influence survival and recovery. This article considers the optimal approaches to diagnosis and early management. Stroke, a sudden neurological deficit of presumed vascular origin, is a clinical syndrome rather than a single disease. It is a common and devastating conditi...

Revascularization for Lower Limb Peripheral Arterial Disease