Pulse Examination Femoral A Popliteal A Dorsalis pedis

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Pulse Examination • • Femoral A Popliteal A Dorsalis pedis A Post tibial A

Pulse Examination • • Femoral A Popliteal A Dorsalis pedis A Post tibial A

Figure 3. 1 Femoral A

Figure 3. 1 Femoral A

Popliteal A

Popliteal A

Dorsalis pedis A Figure 3. 3

Dorsalis pedis A Figure 3. 3

Post tibial A

Post tibial A

Non-invasive Examination • • Doppler Study Duplex Examination MRA Spiral CT

Non-invasive Examination • • Doppler Study Duplex Examination MRA Spiral CT

Figure 1. 1 Doppler Study

Figure 1. 1 Doppler Study

Figure 1. 11 Duplex Examination A B

Figure 1. 11 Duplex Examination A B

Duplex Examination

Duplex Examination

Figure 1. 4 Duplex Examination

Figure 1. 4 Duplex Examination

Figure 1. 8 MRA

Figure 1. 8 MRA

Figure 8. 4 Spiral CT

Figure 8. 4 Spiral CT

Invasive Examination • Transfemoral Angiography ( Sildenger technique)

Invasive Examination • Transfemoral Angiography ( Sildenger technique)

Figure 3. 2 Angiogram

Figure 3. 2 Angiogram

Chronic Ischemia Intermittent claudicating • Site: calf ms • CD: related to disease severity

Chronic Ischemia Intermittent claudicating • Site: calf ms • CD: related to disease severity

Figure 2. 2

Figure 2. 2

Chronic Ischemia Treatment: (Medical-PTA- Bypass) • Medical • Walking • Stop smoking • Diet

Chronic Ischemia Treatment: (Medical-PTA- Bypass) • Medical • Walking • Stop smoking • Diet control • Drugs( aspirin – pletal)

Figure 3. 8 Chronic Ischemia • Angioplasty

Figure 3. 8 Chronic Ischemia • Angioplasty

Chronic Ischemia • Bypass

Chronic Ischemia • Bypass

Critical Limb Ischemia • Definition rest pain in the foot of 2 weeks or

Critical Limb Ischemia • Definition rest pain in the foot of 2 weeks or more with ABI less than 0. 5 • Treatment urgent angio and bypass

Acute Ischemia • Embolism • urgent embolectomy • Thrombosis • urgent angio • Arterial

Acute Ischemia • Embolism • urgent embolectomy • Thrombosis • urgent angio • Arterial injury • urgent reconstruction

Figure 2. 1 Acute Ischemia 6 Ps • Pain • Pallor • Parathesia •

Figure 2. 1 Acute Ischemia 6 Ps • Pain • Pallor • Parathesia • Pulseless • Progressive coldness • Paralysis

Figure 2. 2 Acute Ischemia

Figure 2. 2 Acute Ischemia

Acute Ischemia • Embolectomy

Acute Ischemia • Embolectomy

Figure 2. 11 Acute Ischemia • Faschiotomy

Figure 2. 11 Acute Ischemia • Faschiotomy

Figure 2. 8 Late Acute Ischemia

Figure 2. 8 Late Acute Ischemia

Figure 2. 6 Arterial Injury

Figure 2. 6 Arterial Injury

Figure 2. 7 Arterial Injury

Figure 2. 7 Arterial Injury

Abd. Aortic Aneurysm

Abd. Aortic Aneurysm

Figure 8. 6 • Surgical ttt

Figure 8. 6 • Surgical ttt

Figure 8. 7 Abd. Aortic Aneurysm • Endovascular ttt

Figure 8. 7 Abd. Aortic Aneurysm • Endovascular ttt

Figure 10. 6 Vasculitis

Figure 10. 6 Vasculitis

Figure 14. 2 Leg Ulcer

Figure 14. 2 Leg Ulcer

Figure 14. 4 Arterial Ulcer

Figure 14. 4 Arterial Ulcer

Venous Ulcer

Venous Ulcer

Figure 14. 3 Neuropathic Ulcer

Figure 14. 3 Neuropathic Ulcer

Figure 11. 1 Varicose Veins Long saph Short saph Superf.

Figure 11. 1 Varicose Veins Long saph Short saph Superf.

Figure 11. 5 Varicose Veins • Complications

Figure 11. 5 Varicose Veins • Complications

Varicose Veins • Treatment • Stocking • Sclerotherapy • Surgery

Varicose Veins • Treatment • Stocking • Sclerotherapy • Surgery

Varicose Veins

Varicose Veins

Figure 12. 3 Leg Oedema DVT • Anticoagulant • Stocking • IVC filter

Figure 12. 3 Leg Oedema DVT • Anticoagulant • Stocking • IVC filter

Leg Oedema Lymphedema • Stocking • Elevation

Leg Oedema Lymphedema • Stocking • Elevation

Figure 11. 6 Leg Oedema Cellulitis • I V Antibiotics • Bed rest •

Figure 11. 6 Leg Oedema Cellulitis • I V Antibiotics • Bed rest • Elevation

Carotid Stenosis • TIAs • Baby asprine • Angioplasty • Endarterectomy

Carotid Stenosis • TIAs • Baby asprine • Angioplasty • Endarterectomy

Figure 5. 9 Angioplasty

Figure 5. 9 Angioplasty

Endarterectomy

Endarterectomy