Peripheral Artery Disease--a case study
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Peripheral Artery Disease--a case study

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Peripheral Artery Disease--a case study Peripheral Artery Disease--a case study Presentation Transcript

  • Nirmala devi 50 years/ Female Chief complain- 1-Angina on exertion (NYHA grade II) for 6 months 2-Intermittent claudication (Fontaine stage II) ltlower limb for 6 months 3-Gradual blackening(gangrene) of Lt foot for 2monthsPast h/o- K/C/O DM Type 2 and essential hypertension for 10years on irregular treatment in the form of oral tablets.
  • Left foot
  • Non smoker.On examination-General examination- PR-94/min,regular. BP- 150/84 mmHg View slide
  • Peripheral pulses Carotid Brachial Radial Femoral Popliteal Post D.Pedis tibialLeft + + + + - - Diminish edRight + + + + + + + View slide
  • Systemic examination—Chest- B/L ClearCVS - s1 s2 normal. no murmur.
  • 2D ECHO- No RWMA,LVEF 60% Grade I DD Concentric LVH Rest normal studyColour doppler lower limbs- Lt LL- Diffuse thrombus in proximal and mid SFA (67%stenosis) with obstructed flow in popliteal,distal ATA andDPA. Rt LL-Normal study
  • Arterial supply of Pelvis
  • Arterial supply of lower limb
  • Arterial supply of lower limb
  • Arterial supply of lower limb
  • Arterial supply of lower limb
  • THANKS