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Answered Same Day Jun 12, 2020

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Sumayya K. answered on Jun 14 2020
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CASE STUDY: Peripheral Artery Disease
Q.1. Risk factors
Peripheral artery disease (PAD), a manifestation of systemic atherosclerosis is caused by the blockage of large peripheral arteries. In the case of Mrs. R. B., a 40-year old history of type 1 diabetes mellitus along with hypertension from the last four years are the two critical risk factors of PAD. (Weragoda et. al., 2016)
Q. 2. Level of PAD
On palpating the different peripheral pulses, bilateral femoral and popliteal pulses were found to be normal. On the other hand, the pulses of right dorsalis pedis artery and right posterior tibial artery was undetectable. The absence of both the pulses indicates a tibial condition (McGee, 2018).
Q. 3. Location of arteries
A slit between the medial malleolus and the Achilles tendon is the characteristic location for posterior tibial artery pulse. On the contrary, the landmark location for the dorsalis pedis arterial pulse is a soft tissue border marked medially by the extensor hallucis longus tendon on the dorsal surface of the foot. (Mowlavi et. al., 2002)
Q. 4. Pallor and ABI results
Pallor in the legs suggest PAD. With level 3 pallor, lower right leg suffers a greater occlusion than the lower left leg which shows level 1 pallor (Uzun & Mutluoglu, 2011).
Ankle
achial test results show 0.60 and 0.84 for right limb and left limb respectively. 0.84 refers to a mild disease, whereas 0.60 is an indication of a moderate condition of PAD. (Mohler, 2003)
Q.5. Body temperature
The elevated body temperature of the patient indicate blockage in the legs...
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