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Temperature – cool suggest poor circulation, sides should be compared; Pitting edema – should be tested for in dependent locations – dorsum of foot, if present then on the shins. If the patient has been in bed for a longer period of time one should check the sacrum. Capillary refill – should be less than 3 seconds.
For example, swelling in feet or ankles may be reduced by having the person lie down in bed or sit with the feet propped up on cushions. Intermittent pneumatic compression can be used to pressurize tissue in a limb, forcing fluids—both blood and lymph —to flow out of the compressed area.
In a limb with a normal circulation the toes and sole of the foot, stay pink, even when the limb is raised by 90 degrees. In an ischaemic leg, elevation to 15 degrees or 30 degrees for 30 to 60 seconds may cause pallor. (This part of the test checks for elevation pallor.) A vascular angle of less than 20 degrees indicates severe ischaemia. [1] [2]
Start on your hands and knees. Arch your upper back, pressing down through your hands. While keeping your back arched, sit back towards your heels. Then, come back up to all fours and repeat 10 times.
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Peripheral veinous disease, on the other hand, refers to problems with veins—the vessels that bring the blood back to the heart. [ 18 ] The classic symptom is leg pain when walking, which resolves with rest and is known as intermittent claudication . [ 2 ]
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