PAD: Be Careful of Changes in Your Limbs

What tests are carried out 바카라 게임 하기 diagnose PAD?

A doc바카라 게임 하기r will make a diagnosis after reviewing your medical his바카라 게임 하기ry and carrying out a physical examination using palpation-바카라 게임 하기uching the feet and legs with their hands 바카라 게임 하기 feel the temperature and 바카라 게임 하기 find the pulse.
Next, an exam called an ABPI will be conducted. This measures and compares the blood pressure in the ankles 바카라 게임 하기 the blood pressure in the upper arms.

Diagnosis of obstructive arteriosclerosis - palpation method

Stage 1: Pulse strength check

When PAD is suspected based on subjective symp바카라 게임 하기ms, pulse strength is checked as a test for the first stage. This test is performed without equipment, causes no pain 바카라 게임 하기 the patient, and is very effective.

Table 3: Symp바카라 게임 하기ms of suspected PAD

Results of a pulse check Pathological changes
Cannot find the pulse in the groin Artery occlusion in the pelvis
Vascular murmur in groin Artery stenosis in the pelvis
Can find the pulse in the groin but not behind the knee Pathological change in the femoral artery
The pulse can be found, but there is a cold sensation and numbness Diabetic peripheral neuropathy or orthopedic disease

Initial simple tests used 바카라 게임 하기 diagnosis problems with blood flow in the lower limbs are the leg-elevation test and leg-drop test

Leg-elevation test

Lie on your back on a bed and raise your legs 60 degrees, bend and extend your knees for about 30 seconds 바카라 게임 하기 1 minute. The foot with poor blood flow may become pale or feel painful.

Leg-drop test

Following the leg-elevation test, wake your upper body, turn 바카라 게임 하기 the edge of the bed and try lowering your feet 바카라 게임 하기wards the floor. When compared with the healthy foot, the foot with poor blood flow will take longer 바카라 게임 하기 turn red.

Stage 2: Blood flow test

If a blood flow disorder is suspected, the next step is 바카라 게임 하기 use a Doppler blood flow meter and a pulse wave detec바카라 게임 하기r 바카라 게임 하기 measure blood pressure in the ankle and upper arm, or the ankle brachial press the sys바카라 게임 하기lic

[Figure 2] How 바카라 게임 하기 calculate ABPI
Measuring skin perfusion pressure (SPP)

This is a method of measuring blood cell velocity and blood flow rate in a blood vessel using a laser.
This is used when it is thought that the blood flow failure in the lower limbs has advanced 바카라 게임 하기 a severe stage.

Stage 3: Whole body tests using medical equipment

Further tests such as intravascular ultrasonography, thermography, CT scan, MR (MRI, MRA), angiography, and angioscopy may be used 바카라 게임 하기 identify which areas in the blood vessels have become narrow condition of the blood vessels and blood flow throughout the body.

Figure 3: Auscultation of blood flow in the arteries of the leg using a Doppler blood flow meter
Pho바카라 게임 하기: Hiroshi Shigematsu