Peripheral Arterial Disease is a common and often silent condition that affects the circulation To the legs and feet, initially causing aching, pain, cramping and fatigue. The arteries become Narrowed and walking may become more difficult or painful. This condition can lead to foot and leg wounds or ulcers that don’t heal or are very slow to heal, and potentially lead to amputations if left untreated.
The below assessment will help to identify your risk for Peripheral Arterial Disease. Please complete both sections in their entirety.
You have answered yes to one of these questions. A member of our clinic team will reach out to you within two business days to discuss further action." at the bottom of the form. For the Spanish form, please just using Google translate. Thanks.
IMPORTANT INFORMATION:
On the reverse, please see Clinical Guidelines for Peripheral Arterial Disease and Considerations for Next Steps.
Critical characteristics of patients at risk for the peripheral arterial disease are defined as individuals with one or more of the following
Non-invasive diagnostic testing is the initial step in establishing the presence and extent of lower extremity PAD in patients identified to be at risk for the disease.
Vascular diagnostic laboratories could use segmental pressures, Doppler waveform analysis, pulse volume recordings, or ABI with duplex ultrasonography (or some combination of these methods) to document the presence and location of PAD in lower extremity.
Non-invasive testing should be considered for patients with a positive finding on the PAD risk assessment
An annual risk assessment is suggested for all dialysis patients, as they have a high prevalence of peripheral arterial disease.
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