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Published on: December 11, 2013
Just leg pain? Think again: What health leaders must know about peripheral arterial disease
Giuseppe Papia1, Perry Mayer2, David Kelton3
1Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. Department of Surgery, University of Toronto, Toronto, Ontario, Canada. giuseppe.papia@sunnybrook.ca.
Abstract:
Approximately 800,000 Canadians have Peripheral Arterial Disease (PAD). Peripheral arterial disease is also a leading cause of limb amputation. Yet public and clinical awareness of PAD is very limited. This article discusses the "Just Leg Pain? Think Again" awareness campaign the Canadian Association of Wound Care has launched in response. This article also summarizes PAD risk factors, screening, linkage with diabetes, treatment and care interventions, PAD care innovations, and the need for policy leadership on this issue.
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Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...

