Appropriate Assessment & Diagnostic Tests to Determine Vascular Supply

PHYSICAL ASSESSMENT OF THE LOWER EXTREMITIES

• Intermittent claudicationG (calf pain)
• Peripheral pulses
• Colour (pallorG on limb elevation,  rubor on limb dependency, mottling)
• Cool temperature
• Ischemic pain (pain causing frequent waking  at night,  or needing to dangle limb for pain relief)
• Dry gangrene
• Hair loss, dystrophic nails (damaged or misshaped nail plates)
•  Shiny, taut, thin, dry skin

• Ankle brachial pressure index (ABPI)G
• Toe pressuresG and toe brachial index
• Arterial duplex scan
• Transcutaneous oxygen
• Angiography (including CT angiogram and MR angiogram)