Page 48 - Virtual Vascular Vol 15
P. 48

What abnormalities can you see ?



                                                                         Ischemic looking forefoot







     Dry scaly skin









































                                                                           Dry gangrene on 1 ,
                                                                                                         st
                                                                           2 , 5 toe
                                                                                    th
                                                                             nd





                                                                     Thickened nails






                                               Bilateral hallux valgus





          What next?
          •    Check heels and pressure points for ulcers/gangrene

          •    Compare both feet temperature

          •    Capillary refill
          •    Lower limb pulses

        48 •   Ankle Brachial Index
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