2.10
Peripheral Arterial Disease
Malawi Standard Treatment Guidelines, 6th Edition, 2023. Chapter 2, Cardiovascular Diseases.
Clinical Description
If there are poor pulses and delayed capillary refill, or claudication or non-healing wounds.
Signs and Symptoms
- Muscle cramps (thighs, calf muscles)
- Leg numbness or weakness
- Coldness in lower leg or foot
- Sores: legs or feet or toes
- Hair loss or slower hair growth in legs/feet
- Weak or no pause in legs/feet
- Erectile dysfunction in men
- Shiny skin in legs
Investigations
- Blood sugar, FBC, lipid profile, HIV
Treatment
- consider adding Aspirin and Statin
- Treat risk factors (diabetes, hyperlipidemia, HIV)
- Patients with critical limb Ischemia should be referred to high level of care to avoid death from septic shock
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