POVD.pptx

Examination of a case of Peripheral occlusive vascular disease

1. EXAMINATION OF PERIPHERAL VASCULAR DISEASE (POVD) Dr.GEJOE.G

2. DISEASES CAUSING POVD CHRONIC Atherosclerosis Buerger’s disease (TAO) Reynaud’s disease Cervical rib Vasculitis Electric burns Aneurysm ACUTE Arterial embolism Thrombus Trauma

3. HISTORY OF PRESENT ILLNESS Age and sex Limbs affected Mode of onset Pain – Intermittent claudication/ Boyd’s classification -- Rest pain Effects of heat and cold-Reynaud’s phenomenon Paraesthesia History of superficial phlebitis Involvement of other arteries

4. Past history Personal history Family history

5. I nspection Change in colour Signs of ischemia Buerger’s postural test Capillary filling time Venous refilling Gangrene – Extend --Type --Line of demarcation

6. P alpation Temperature Capillary refilling Venous refilling Crossed leg test( Fuchsing test) Cold and warm water test Elevated arm test Allen’s test

7. Branham’s sign or Nicoladoni’s sign Costoclavicular compressive manoeuvre Hyperabduction manoeuvre Adson’s test Palpation of blood vessels G angrenous area Limb above the gangrenous area Examination of the LN Neurologic examination

8. Auscultation Examination of other systems

9. THANK YOU