Clinical Case Database / Category: Practical Procedure
Measuring the ankle-brachial pressure index
Publication details
Sanjay Harrison, Ben Banerjee
Foundation Years Journal, volume 5, issue 1, p.74 (123Doc Education, London, February 2011)
Abstract
A 65 year old gentleman presented to the vascular clinic with a 3 month history of gradually worsening left leg pain which he says is brought on while walking but subsides if he stops and rests for a while. Over the preceding few weeks he has also noticed an area of ulceration over the dorsum of his foot which hasn't healed despite applying plasters and bandages. He is a smoker, moderately obese and also suffers from osteoarthritis, hypertension and is currently being investigated by his GP for a high blood glucose.
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Authors
Sanjay Harrison
Teaching Fellow in General Surgery
Sunderland Royal Hospital
Kayll Road, Sunderland
SR4 7TP
Ben Banerjee
Consultant Vascular Surgeon
Sunderland Royal Hospital
Kayll Road, Sunderland
SR4 7TP
References
1. Vowden KR, Goulding V, Vowden P. Hand-held doppler assessment for peripheral arterial disease. J Wound Care 1996; 5(3): 125-8
2. Stubbing NJ, Bailey P, Poole M. Protocol for accurate assessment of ABPI in patients with leg ulcers. J Wound Care 1997; 6(9): 417-8.
3. Eagle M. Doppler ultrasound – basics revisited. Br J Nurs 2006 Jun 8-21; 15(11):S24-30
4. Brooks M, Jenkins MP. Acute and chronic ischaemia of the limb. Surgery 2004 Dec; 22:12, 331-334
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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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