Lecturer
| urrent symptoms |
Have you noticed any Color, temperature or texture changes in your skin |
Arterial insufficiency the skin is cold and clammy on the extremities and thin ,shiny skin with loss of hair especially over lower legs |
| Venous insufficiency the skin is warm with brown pigmentation are founded around the ankles |
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| Do you experience pain in your legs? Does it a waken you from sleep |
Intermittent claudicating characterized by pain ,tension ,weakness that occurs with activity and is relieved with rest may indicate arterial disease Heaviness and an aching sensation That is aggravated by standing or sitting for long periods of time and is relieved by rest is associated with venous disease |
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| Do you have any leg veins that are ropelike, bulging or contorted? |
Varicose vein are hereditary but may also develop from increased venous pressure and venous pooling |
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| Do you have any sores or open wounds on your legs? |
Ulcers associated with arterial disease are usually painful and are often located on the toes, foot or lateral ankle |
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| Venous ulcers are usually painless and occur on the lower leg or medial ankle |
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| Do you have any swelling edema in your legs or feet |
Peripheral edema swelling resulting from obstruction in the lymphatic flow or from venous insufficiency or deep venous thrombosis |
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| Do you have any swollen glands or lymph nodes? Do you have tender |
Enlarged lymph nodes may indicate a local or systemic infection |
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| Past history |
Describe any problems you have in the past with circulation in your arms or legs ( e.g. blood clots ,ulcers, coldness, numbness, swelling or poor healing) |
A history of prior peripheral vascular disease increases the risk of recurrence |
| Have you had any heart or blood vessels surgeries or treatment |
Previous surgeries may alter the appearance of skin and the underlying tissues surrounding the blood vessels |
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| family history |
Do you have a family history of diabetic hypertension CAD |
These disorders tendons to be hereditary and cause damage to the blood vessels |
| Life Style and Health Practice |
Do you smoke? How many backs of cigarette per day for how many years |
Cigarette smoking greatly increases the risk of chronic arterial insufficiency |
| What type of stress do you have in your life |
Stress increase the heart rate and blood pressure and contribute to vascular disease |
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