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Related Concept Videos

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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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 III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation01:21

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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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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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Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
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Updated: Sep 5, 2025

Computerized Dynamic Posturography for Postural Control Assessment in Patients with Intermittent Claudication
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Lower Extremity Amputee Outcomes with Reference to Co-morbidities.

Eran Beit Ner1,2, Guy Ron1,2, Ahmad Essa1,2

  • 1Department of Orthopedic Surgery, Shamir Medical Center (Assaf Harofeh), Zerifin, Israel.

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Diabetic lower extremity amputations are devastating. This study found high comorbidity and mortality rates in Israeli patients, suggesting amputation rates may not solely reflect diabetes care quality.

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Area of Science:

  • Medical research
  • Diabetology
  • Vascular surgery

Background:

  • Lower extremity amputation due to diabetes is a severe complication with significant patient and family impact.
  • Amputation rates can indicate the effectiveness of diabetes management and diabetic foot complication treatment.

Purpose of the Study:

  • To analyze patients undergoing amputation at an Israeli medical center.
  • To detail patient comorbidities and post-amputation outcomes.

Main Methods:

  • Retrospective chart review of patients who underwent major amputations.
  • Study period: September 1, 2017, to September 30, 2018.

Main Results:

  • 72 patients (mean age 72, 74% male, 93% type 2 diabetes) had major amputations.
  • High comorbidity (mean Charlson score 8.2) and pre-existing conditions like dementia were noted.
  • 2-year mortality was 54.2%; survival was significantly lower after above-knee amputation (AKA) than below-knee amputation (BKA).

Conclusions:

  • High amputation rates may be influenced by factors beyond diabetes management quality.
  • The studied patient population exhibited poorer health compared to those in most published studies.
  • International comparisons of raw amputation rates should be interpreted cautiously.