General Examination

Obese, respiratory distress, Blood Pressure, oxygen saturation, Pulse, CVS evaluation; heart, carotid, abdominal aorta, peripheral vessels

Inspection of extremities

  • ***Exposure both limbs & Position
  • Skin color; Shiny skin in ischemia, edema etc…- compare both limbs
  • Pallor when elevated; Vascular Angle
  • Rubor on dependency
  • Venous filling - guttering of veins in ischemia; lifting leg - pallor, standing sudden redness; due inflammatory process
  • Ulceration - tip of toe, in between, hidden places to exclude
  • discloration - patchces of gangrea
  • Pulsatile masses (popliteal, Femoral)
  • Thickening of nail & skin, loss of leg hair; feature of ischemia