{"id":288,"date":"2017-03-26T12:33:07","date_gmt":"2017-03-26T12:33:39","guid":{"rendered":"http:\/\/papergp.com\/index.php\/cardiovascular\/pvd\/"},"modified":"2023-01-24T11:25:26","modified_gmt":"2023-01-24T11:25:26","slug":"pvd","status":"publish","type":"page","link":"https:\/\/papergp.com\/index.php\/others\/vascular-surgery\/pvd\/","title":{"rendered":"Peripheral Vascular Disease"},"content":{"rendered":"<div class=\"content-box-blue\">\n<h4><strong>Data gathering<\/strong><\/h4>\n<ul>\n<li>Red flags &#8211; rest pain, colour changes in foot, calf swelling, leg numbness, night pain<\/li>\n<li>Others &#8211; exercise tolerance<\/li>\n<li>Examine &#8211; BP, pulse, BMI, CV, leg (temp\/colour\/pulses\/skin)<\/li>\n<\/ul>\n<\/div>\n<p>&nbsp;<\/p>\n<div class=\"content-box-blue\">\n<h4><strong>Clinical management<\/strong><\/h4>\n<ul>\n<li>Investigations\n<ul>\n<li>Bloods &#8211; FBC, U+Es, cholesterol, HbA1c<\/li>\n<li>ECG<\/li>\n<li>ABPI<\/li>\n<li>Doppler<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Explanation\n<ul>\n<li>narrowing of arteries that supply blood to legs &#8211; due to fatty plaques developing on inside lining<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Treatment\n<ul>\n<li>Lifestyle &#8211; stop smoking, exercise, weight loss, reduce alcohol intake<\/li>\n<li>Footcare &#8211; regular self inspection +- podiatry<\/li>\n<li>Medications &#8211; clopidogrel\/statins<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li>Follow-up \/ Safety net &#8211; Refer to vascular if &#8211; rest pain, absent foot pulses, pallor or evidence of gangrene<\/li>\n<\/ul>\n<p>NB:<\/p>\n<ul>\n<li>Critical ischaemia = rest pain, absent foot pulses, impaired wound healing, ABPI &lt;0.5<\/li>\n<li>Acute ischaemic limb &#8211; pale, pain, pulseless, paralysis, paraesthesia, perishingly cold<\/li>\n<\/ul>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Data gathering Red flags &#8211; rest pain, colour changes in foot, calf swelling, leg numbness, night pain Others &#8211; exercise tolerance Examine &#8211; BP, pulse, BMI, CV, leg (temp\/colour\/pulses\/skin) &nbsp; Clinical management Investigations Bloods &#8211; FBC, U+Es, cholesterol, HbA1c ECG ABPI Doppler Explanation narrowing of arteries that supply blood to legs &#8211; due to fatty &hellip; <a href=\"https:\/\/papergp.com\/index.php\/others\/vascular-surgery\/pvd\/\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Peripheral Vascular Disease<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2308,"menu_order":193,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-288","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/288","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/comments?post=288"}],"version-history":[{"count":7,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/288\/revisions"}],"predecessor-version":[{"id":1918,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/288\/revisions\/1918"}],"up":[{"embeddable":true,"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/pages\/2308"}],"wp:attachment":[{"href":"https:\/\/papergp.com\/index.php\/wp-json\/wp\/v2\/media?parent=288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}