Page 62 - Virtual Vascular Vol 17
P. 62

Digital Gangrene








               Why does this gentleman have digital gangrene?
































































     Differential Diagnosis:



     1. Emboli e.g. from atrial fibrillation/post myocardial infarction/aneurysm/infective
     endocarditis
     2. Thrombosis, e.g. after radial artery puncture for blood gas or arterial line

     3. Vasoconstriction e.g. from high dose inotropes
     4. Peripheral vascular disease does not commonly affect the upper limbs as compared to
     the lower limbs

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