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Related Concept Videos

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Endocarditis II: Clinical Features of Infective Endocarditis01:25

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Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
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Peripheral Artery Disease I: Introduction01:30

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

Peripheral Artery Disease V: Postoperative Nursing Management

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies01:22

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The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
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Idiopathic Symmetrical Peripheral Gangrene: A Rare Clinical Entity.

Saurabh Gaba1, Arshi Syal1, Yajur Arya1

  • 1General Medicine, Government Medical College and Hospital, Chandigarh, IND.

Cureus
|May 17, 2021
PubMed
Summary

This case study describes idiopathic symmetrical peripheral gangrene (SPG), a rare condition causing extremity necrosis. Investigations found no underlying cause for this patient's SPG.

Keywords:
fingersgangreneidiopathicnosesymmetrical peripheral gangrene

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Area of Science:

  • Vascular Medicine
  • Dermatology
  • Pathology

Background:

  • Symmetrical peripheral gangrene (SPG) is a rare clinical finding characterized by ischemic necrosis affecting extremities symmetrically.
  • It is often associated with underlying conditions that can lead to disseminated intravascular coagulation (DIC) and subsequent hypoperfusion.

Observation:

  • A 58-year-old male presented with symptoms of SPG.
  • The patient had a delayed presentation for medical care, with his history only being elucidated during treatment for pneumonia a year later.
  • Extensive diagnostic workup was performed to identify potential causes of SPG.

Findings:

  • No specific etiology was identified for the SPG in this patient, classifying it as idiopathic.
  • The investigations ruled out common causes associated with SPG and DIC.

Implications:

  • Idiopathic SPG represents a diagnostic challenge, highlighting the importance of thorough investigation even in the absence of a clear underlying cause.
  • Management focuses on addressing the ischemic necrosis and wound care, while ongoing research may elucidate potential mechanisms for idiopathic cases.
  • This case underscores the need for timely medical evaluation for symptoms of peripheral ischemia to prevent severe complications like gangrene.