Peripheral Vascular examination Things to know before the exam Flashcards
1
Q
What is Buerger’s test
A
Standing at the bottom of the bed, raise both legs to 45 degrees for 2-3 mins
- observe for pallor
- if a limb develops pallor not at what angle this occurs = burger’s angle
- burgers angle <20 degrees indicates severe limb ischaemia
- after 2-3 minutes ask patient to place their legs over the side of the bed - observe for reactive hyperaemia (pallor = pink = red) significant PAD
2
Q
What investigations would you do for a peripheral vascular examination
A
- full neurological exam of upper and lower limb
- cardiovascular exam
- ABPI
- doppler US
- angiography
- FBC
- ulcer swabs
- ECG
- CXR
