What Renuka Says Spotter Series ...
Dr Anshad Ameen N, MEM Y-I
69 Year old male with k/c/o DM-for 30 years and right sided hemiplegia -8 years back right sided BK amputatioin 7 years back
Now coming with c/o Decreased movement of left side of body-for 1wk & left leg discolouration & pain for 3 days..
On examination
Pulse absent in left popletial & dorsalis pedis..
Lab values-increased tc(27000)
DIAGNOSIS..??
A/C LIMB ISCHEMIA
ACUTE LIMB ISCHEMIA
PERIPHERAL ARTERIAL D/S ----ABI<.9
C/F—6Ps
Pain
Pallor
Poikilothermia
Pulselessness
Parasthesia
paralysis
Pain-earliest symptom
One of the early sign the of ischemic limb may present as muscle weakness.
DDs-
Thromboembolic d/s
Vasculitis
Raynaud d/s
TAO
DIAGNOSIS
ARTERIOGRAM-GOLD STD