Page 55 - Virtual Vascular Vol 17
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Diagnosis of acute right lower limb ischemia was made.
It is a clinical diagnosis. No imaging is required.
Classical symptoms: the 6 Ps
Symptoms/Signs Comment
Pain
Pallor
Pulselessness
Perishingly cold May be affected by ambient temperature
Paresthesia Impending irreversible ischemia
Paralysis Impending irreversible ischemia
Should we perform revascularization on her leg?
(Ref: Goldstein, J. A., & Mishkel, G. (2011). Choosing the correct therapeutic option for acute limb ischemia. Interventional
Cardiology, 3(3), 381–389. https://doi.org/10.2217/ica.11.28)
We should only consider revascularization of a viable or threatened limb.
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Revascularization of a dead leg will only cause reperfusion syndrome.
