Peripheral Arterial Disease

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CLINICAL DESCRIPTION 

If there are poor pulses and delayed capillary refill, or claudication or non-healing wounds.

CLINICAL FEATURES

SIGNS AND SYMPTOMS

• Muscle cramps (thighs, calf muscles)
• Leg numbness or weakness
• Coldness in lower leg or foot
• Sores: legs or feet or toes
• Hair loss or slower hair growth in legs/feet
• Weak or no pause in legs/feet
• Erectile dysfunction in men
• Shiny skin in legs

INVESTIGATIONS

• Blood sugar, FBC, lipid profile, HIV

TREATMENT

• Consider adding Aspirin and Statin
• Treat risk factors (diabetes, hyperlipidemia, HIV)
• Patients with critical limb Ischemia should be referred to high level of care to avoid death from septic shock