Clinical Case Database / Category: Patient Management
Assessment of an acutely ischemic limb
Publication details
Dr. Sadaf Rafique, Mr. A S K Ghauri
Foundation Years Journal, volume 5, issue 1, p.34 (123Doc Education, London, February 2011)
Abstract
A seventy years old male patient was admitted to A&E with 2 hours history of acute pain in his left leg. This was a sudden onset sharp pain radiating down the leg and associated with paresthesia and weakness of left leg. His past medical history included type II diabetes, COPD and repair of abdominal aortic aneurysm 4 years ago. The patient appeared in severe pain and was dehydrated. Clinical examination revealed a cold, pale and painful leg with absent pulses on left side. The capillary refill was >5 seconds. The pulse rate was 98 beats per minute and was irregular. An ECG confirmed presence of atrial fibrillation and recent Myocardial infarction.
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Authors
Dr. Sadaf Rafique
Foundation Doctor
Salisbury Foundation Hospital NHS Trust
Salisbury
sadafnajm@hotmail.com
Mr. A S K Ghauri
Consultant Vascular Surgeon,
Salisbury Foundation Hospital NHS Trust
Salisbury
References
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4. Callum K, Bradbury A; Acute limb ischemia; British Medical Journal 18 March 2000; 320; 764-7.
5. Ebner H, Zaraca F, Randone B. The role of intraoperative angiography in arterial thromboembolectomy for non-traumatic acute upper limb ischaemia. Chir Ital. 2004 May-Jun; 56 (3):345-50.
6. Acute limb ischaemia; Surgical Tutor (2004) www.surgicaltutor.org
7. Kessel DO, Berridge DC, Robertson I. Infusion techniques for peripheral. Arterial thrombolysis. Cochrane Database Syst Rev. 2004(1): CD000985.
8. Blaisdell FW, Steele M, Allen RE. Management of acute lower extremity arterial ischemia due to embolism and thrombosis. Surgery. 1978; 84: 822-834.
9. Kasirajan K, Ouriel K. Management of acute lower extremity ischemia; treatment strategies and outcomes. Curr Interv Cardiol Rep. 2000; 2: 119-129.
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About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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