How to Interpret Noninvasive Vascular Testing and Diagnose ...
How to Interpret Noninvasive Vascular Testing and Diagnose Peripheral Vascular
Disease
David Campbell, MA FRCS FACS.
Vascular Surgeon, Beth Israel Deaconess Medical Center Associate Professor of Surgery Harvard Medical School
Clinical Diagnosis
? Claudication versus Spinal Stenosis ? Ischemic Rest Pain versus Neuropathic Pain ? Location of foot lesions ?ischemic versus
neuropathic ? Absence of symptoms does not rule out
significant ischemia
Signs of PVD
? Pulse examination. Frequently inaccurate due to calcified vessels.
? Inflow versus outflow disease ? Autonomic neuropathy ? Dependent Rubor
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