Evaluation |
Signs of PVD |
Medical History |
Leg pain
Exercise intolerance |
Physical Exam
- Visual inspection of the foot
- Inspection of interdigital space
- Palpation of peripheral pulses(femoral, popliteal, and pedal vessels)
|
Rubor
Pallor on elevation
Absence of hair growth
Dystrophic toenails
Cool, dry fissured skin
Absence of pedal pulses |
Ankle brachial pressure index (ABI)
|
0.91-1.30 (normal)
0.70-0.90 (mild obstruction)
0.40-0.69 (moderate obstruction)
<0.40 (severe obstruction)
>1.30 (poorly compressible) |
Vascular lab evaluation (pulse volume recordings [PVRs]) |
Decreased blood flow |
Treadmill functional testing |
>20 mm Hg drop in ankle pressure after exercise indicates claudication |
