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Related Concept Videos

Assessment of the Cardiovascular System III: Palpation01:27

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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 the Lower Limbs01:24

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Epilepsy is a chronic neurological disease marked by recurrent, unpredictable seizures. These seizures are caused by abnormal electrical discharges in the brain, leading to behavior, sensation, or consciousness alterations. They can also cause transient impairment of awareness, interfering with daily activities.
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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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Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
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Arteries of the Upper Limbs01:12

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The subclavian artery transitions into the axillary artery as it exits the chest and enters the axillary region. This artery is critical for supplying blood to the shoulder area, including the head of the humerus, through the humeral circumflex arteries. As the vessel continues into the upper arm or brachium, it becomes the brachial artery. This artery plays a key role in vascularizing the brachial region and bifurcates at the elbow into several branches. These branches include the deep...
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Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
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Related Experiment Video

Updated: Jun 22, 2025

Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
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Arterial Leg Ulcers in the Octogenarian.

Allegra L Fierro1, Marnie Abeshouse1, Tomer Lagziel1

  • 1Department of Surgery, Icahn School of Medicine at Mount Sinai, One Gustave L. Levy Place, New York, NY 10029, USA.

Clinics in Geriatric Medicine
|July 3, 2024
PubMed
Summary

Managing arterial leg ulcers (ALUs) in octogenarians with chronic ischemia is challenging. Focus on adjunctive therapies is essential to improve quality of life and reduce risks in this population.

Keywords:
Adjunctive therapies for ischemic diseaseArterial leg ulcersGeriatric leg ulcers

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Area of Science:

  • Vascular Surgery
  • Geriatric Medicine
  • Wound Care

Background:

  • Arterial leg ulcers (ALUs) are severe complications of chronic ischemia.
  • ALUs indicate end-stage peripheral arterial disease, associated with high morbidity and mortality.
  • Management in octogenarians is complex due to intervention risks and disease severity.

Purpose of the Study:

  • To highlight the challenges in managing arterial leg ulcers in octogenarians.
  • To emphasize the need for adjunctive therapies beyond revascularization.
  • To inform the development of multimodal treatment strategies for this demographic.

Main Methods:

  • Review of current literature on arterial leg ulcer management in the elderly.
  • Analysis of risks and benefits of interventions in octogenarians.
  • Discussion of adjunctive therapies for quality of life and outcomes.

Main Results:

  • Revascularization may pose significant risks in the geriatric population.
  • Adjunctive therapies are crucial for improving outcomes and quality of life.
  • Understanding limitations of current treatments is vital for effective care.

Conclusions:

  • Multimodal treatment algorithms are necessary for octogenarian ALU patients.
  • Adjunctive therapies play a key role in managing complex cases.
  • Further research into optimizing care for elderly patients with ALUs is warranted.