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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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Peripheral Artery Disease I: Introduction01:30

Peripheral Artery Disease I: Introduction

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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 but also impacts other areas, such as the arms, thereby impairing overall circulation and organ function.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty deposits inside the arterial...
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Assessment of the Cardiovascular System III: Palpation01:27

Assessment of the Cardiovascular System III: Palpation

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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
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...
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Arteries of Lower Limbs01:20

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The external iliac artery transitions out of the body cavity, entering the femoral region of the lower leg, and is renamed the femoral artery at the point where it traverses the body wall. This artery is responsible for the distribution of blood to the thigh's deep muscles and the skin's ventral and lateral regions, achieved through several minor branches and the lateral deep femoral artery, which also spawns a lateral circumflex artery. The knee area receives blood from the genicular...
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Peripheral Artery Disease IV: Nursing Management01:26

Peripheral Artery Disease IV: Nursing Management

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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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Murine Model of Hindlimb Ischemia
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Acute limb ischemia.

George Galyfos1, Alexandros Chamzin2, Nikolaos Intzes2

  • 1Unit of Vascular Surgery, First Department of Propedeutic Surgery, Hippocration Hospital, National and Kapodistrian University of Athens, Athens, Greece - georgegalyfos@hotmail.com.

The Journal of Cardiovascular Surgery
|February 10, 2023
PubMed
Summary

Acute limb ischemia (ALI) is a medical emergency. This study reviews ALI

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Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Emergency Medicine

Background:

  • Acute limb ischemia (ALI) represents a critical vascular emergency demanding prompt diagnosis and intervention.
  • Traditional management of ALI primarily involved open surgical procedures.
  • Recent emergence of SARS-CoV-2 infection has been linked to novel ALI cases.

Approach:

  • This study provides an updated overview of ALI.
  • It examines the characteristics, diagnostic methods, and contemporary treatment strategies for ALI patients.
  • The review incorporates recent advancements in endovascular techniques and COVID-19-related ALI.

Key Points:

  • ALI necessitates urgent medical attention.
  • Endovascular techniques offer alternative treatment options to open surgery.
  • SARS-CoV-2 infection is an emerging cause of ALI.

Conclusions:

  • This review synthesizes current knowledge on ALI diagnosis and management.
  • It highlights the evolving landscape of ALI treatment, including endovascular approaches.
  • Understanding COVID-19's role in ALI is crucial for modern clinical practice.