Condition Info - BotMed Application

ConditionName

Peripheral artery disease (PAD, Intermittent Claudication)

ConditionDescription

Symptoms

Changes in the color of your legs;
Erectile dysfunction, most often in men with diabetes;
Leg weakness;
Slow toenail growth;
Wounds or sores on your toes or feet that don’t heal well;

PhysicalFindings

Loss of hair on your legs;
Fainter pulse in your feet;
Shiny skin on your legs;
Skin that looks pale or kind of blue;
Legs that are cooler than your arms;
One leg that feels colder than the other;
Wounds or sores on your toes or feet that don’t heal well;
Pain in calves on extension;
Reversed by rest;
Walking up or down hills;

ClinicalTests

Low Ankle-brachial index --> quick, noninvasive; best initial test;
No blockage (1.0 to 1.4). 
Borderline blockage (0.91 to 0.99). 
PAD (less than 0.90). 

Doppler US;
Angiography before surgery;

RiskFactors

Smoking;
Diabetes;
Dyslipidemia;
Family history of atherosclerosis;
High homocysteine level;
Hypertension;
Increasing age;
Male sex;
Obesity;
African Americans;

IsRedFlag

IsNPLEX

Consequence

ProgressionFromCondition

TreatmentOptions

No compressive socks!
Lifestyle changes;
Smoking cessation; 
Medication;
Surgery to treat PAD;

PharmOptions

Aspirin;

WebLink

https://www.merckmanuals.com/professional/cardiovascular-disorders/peripheral-arterial-disorders/peripheral-arterial-disease