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6.2a arterial (auscultation (graft) (graft, carotid artery, renal artery,…

- - - - partial blockage
    - - arteriovenous communications
- - - - -horizontal diameter-
      - x mobile, skin, muscles
      - consistency is firm
      - smooth surface, regular border, get above (supra/infra-renal aneurysm), get below (vx iliac aneurysm)
      - x tender, x warm, expansile pulsation (demonstration)
  - - - partial blockage
    - - arteriovenous communications
- - - - ulnar
      - brachial
      - subclavian
      - carotid
      - radial
    - - dorsalis pedis
      - posterior tibial
      - popliteal
      - femoral
- - - - discharge
        
        infection
      - depth
        
        very deep with exposure of xxx?
      - edge
        
        (colour) punched-out edge
      - base
        
        (colour) x granulation tissue
      - site: number, shape, size
        
        ulcer/skin tender, cold peripheral
    - - x tissue crepitus
      - soft, swollen, infected: x clear line of demarcation (wet gangrene) v infection/imparied venous drainage
      - hard, shrunken, non-infected: v clear line of demarcation (dry gangrene) x infection/impaired venous drainage
      - dead tissue (black, crinkled, withered)
        
        gangrene x pain, prox to line v pain
    - - wasting pulps toes
        
        Buerger's test
      - thick, scaling skin
        
        tender, cold, capillary
    - - purple (gang/ulcer)
        
        infection
      - blue
        
        severe ischemia
      - pallor, red, purple (gangrene)
        
        chronic ischemia
      - mottled
        
        acute ischemia
- - - - 15°
  - - - critical ischemia: <20°
  - - - critical ischemia: 15-30s
- - - - Dopper
        
        systolic pressure
        
        brachial artery/dorsalis pedis
        
        .>1 calcification
        
        <1 occlusion
        
        <50mmHg: critical isch
        
        4 more items...