Five āPā of Acute Ischemia
- Pain
- Pallor
- Pulseless
- Paresthesia
- Paralysis
Early: pale
Later: cyanosed ā Mottling
Later stage: Fixed mottling & cyanosis
Early -ā Late
light touch ā vibration ā Proprioreception ā Deep pain ā Pressure sense Z
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