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Bruit - ✔✔Turbulent blood flow
Caused by inclusion
happened when lumen included .5-.66
- low pitched
Edema - ✔✔+1 - no perceptible swelling of leg; 2mm
+2 - moderate pitting; 4mm
+3 - deep pitting, 10-20 sec rebound; 6mm
+4 - deeper pit, >30 sec rebound; 8 mm
Arterial Deficits - ✔✔- dry, shiny skin
- skin cool/cold in tenmperature
- nails thickened
- no hair on toes and dorsum foot
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, - ulcers on toes, heel, or pressure pulse areas
- very painful ulcers
- edema minimal unless foot in DEPENDENT position
- pain intermittment claudication to sharp
Venous Deficits - ✔✔- skin thickened & tough
- skin is reddish/blue
- ulcers on medial malleolus or anterior tibial
- superficial ulcer can be very painful
- irregular border
- granulation tissue
- pain aching and cramping
- difficult to feel pulses
ADLs - ✔✔grooming
eating
mobility
communicating with others
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