USMLE/COMLEX - Step 2 - Acute limb ischemia

USMLE/COMLEX - Step 2 - Acute limb ischemia
Which conditions are associated with acute limb ischemia?
Atherosclerosis Atrial fibrillation Infective endocarditis Thrombus of the left ventricle of the heart Trauma
Are patients asymptomatic?
Around 20-50%
How will the patient present?
Cool and shiny extremity Decreased or absent pulses Poor wound healing in areas of hypoperfusion
Which test is used to confirm a diagnosis?
Ankle-brachial index interpretation
How is it treated?
Heparin Embolectomy