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On inspection the clinician looks for signs of: trauma; previous surgery ()muscle wasting/muscle asymmetry; edema (swelling) erythema (redness); ulcers – arterial ulcers tend to be on the borders / sides of the foot, neuropathic ulcers on the plantar surface of the foot, venous ulcers tend on be on the medial aspect of the leg superior to the medial malleolus.
Edema (American English), also spelled oedema (British English), and also known as fluid retention, dropsy and hydropsy, is the build-up of fluid in the body's tissue, [1] a type of swelling. [4] Most commonly, the legs or arms are affected. [1] Symptoms may include skin that feels tight, the area feeling heavy, and joint stiffness. [1]
Peripheral edema is edema (accumulation of fluid causing swelling) in tissues perfused by the peripheral vascular system, usually in the lower limbs. In the most dependent parts of the body (those hanging distally ), it may be called dependent edema.
Edema is present if the dimple doesn’t bounce back and a dimple remains on the skin. ... People may also use a tape measure to measure the legs or abdomen’s circumference or the pitting test ...
Pressure gauge used to measure intracompartmental pressure in suspected compartment syndrome. The device consists of a needle catheter that is inserted directly into the affected limb which is then connected to a pressure transducer. The transducer can relay the measurement to an A-line monitor or a standard pressure gauge.
A patient's ankle brachial pressure index (ABPI) must be >1.0 per leg to wear compression stockings, otherwise the stockings may obstruct the patient's arterial flow. The ABPI indicates how unobstructed a patient's leg and arm arteries are. Any competent doctor or nurse can measure and calculate a patient's ABPI.
Heat edema is a cutaneous condition characterized by dependent edema from vasodilatory pooling. [2] Heat causes the blood vessels to expand (dilate), so body fluid moves into the hands or legs by gravity. The balance of salt in the body is also a risk factor for heat edema.
To perform the test, one set of electrodes are placed on viable tissue (e.g. the chest) as a control and a second set is placed around the tissue in question (e.g. legs or feet). The electrodes may mildly heat the skin to increase blood flow into the area. Oxygen may also be given to the patient to see if that increases oxygen levels in the tissue.
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