Five “P” of Acute Ischemia
- Pain
- Pallor
- Pulseless
- Paresthesia
- Paralysis
Early: pale
Later: cyanosed ⇒ Mottling
Later stage: Fixed mottling & cyanosis
Early -⇒ Late
light touch ⇒ vibration ⇒ Proprioreception ⇒ Deep pain ⇒ Pressure senseZ
Doppler Vs Dopplux
Multiphasic normal one -
duplex waves + picture
1st Fogarly
2nd Modality: Angiography Findings: complete blockage of right common illiac, saddle embolus Diagnosis: chronic ischemia
3rd Modality: Angiography Findings: collaterals and distal runoff Diagnosis: chronic ischemia