The patient has chronic arterial obstruction. He presents with?
|A||Gangrene and claudication|
In chronic arterial occlusion, there are good collaterals, distal pulses may be normal. In such cases patient is exercised to the point of claudication so that the pulse disappears, called as the DISAPPEARING PULSE which reappears on rest.
a. Atherosclerosis may affect the thoracic and abdominal aorta.
b. Occlusive aortic disease caused by atherosclerosis is usually confined to the distal abdominal aorta below the renal arteries.
c. Frequently the disease extends to the iliac arteries.
d. Claudication characteristically involves the buttocks, thighs, and calves and may be associated with impotence in males (Leriche syndromE..
e. The severity of the symptoms depends on the adequacy of collaterals.
f. Atrophic skin, loss of hair, and coolness of the lower extremities are usually observed.
g. In advanced ischemia, rubor on dependency and pallor on elevation can be seen.