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6.2a arterial (ischemic ulcer (depth (very deep with exposure of xxx),…
6.2a arterial
ischemic ulcer
site: number, shape, size
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palpation
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temperature (feet, leg, thigh)
capillary refill (normal: <2s, fixed staining)
upper/lower limb pulses (distal - proximal) (present, reduced, absent)
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others
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no hair, dystrophic nail, shiny skin
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auscultation (graft)
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renal artery, aortic bifurcation, iliac artery
femoral artery, superficial femoral artery
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(pre) gangrene
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gangrene
dead tissue (black: crinkled, withered)
dry gangrene
hard, shrunken: v clear line of demarcation
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wet gangrene
soft, swollen: x clear line of demarcation
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Buerger's test
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capillary refilling
critical ischemia: reactive hyperemia, 30s
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