Vascular disease has many diverse presentations and the diagnosis and management of the disease process is a multifaceted issue. Ulceration is a typical example of a complex and insidious problem where the underlying disease process may be venogenic, arteriogenic, or a combination of both.
The diagnosis and management of lower limb venous disease is the least understood of vascular issues. Determining exactly which veins are incompetent, their size, communications, and any anomalies is extremely important.
The Ankle-Brachial Pressure Index (ABI) is the primary reference point. Combined with stress testing it reveals exercise-induced pressure decreases, recovery times and exercise tolerance. Simple and reproducible, the test must be performed on all patients when lower limb arterial insufficiency is suspected.
The association between extracranial arterial disease and cerebral vascular accidents (CVA) is well documented. Almost 70% of all CVA's are due to atherosclerotic extracranial disease...
To accurately assess abdominal pathophysiology, specialisation is paramount. Imaging of the abdominal aorta, coeliac axis, superior mesenteric and renal arteries is complex and the aorto-iliac segment can be an especially difficult area to assess.
Dialysis is an artificial method of purifying the blood in individuals with kidney failure. It helps in removing the impurities and waste products from the blood. Dialysis access is a method of gaining access into the bloodstream through blood vessels for dialysis.
Our well-equipped leg ulcer clinic provides comprehensive treatment for patients with leg and foot ulcers that do not heal easily or keep recurring. Leg ulcers occur commonly in patients with diabetes, history of oedema, varicose veins and blood clot formation in the deep veins of the legs.
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Out-patient treatment of varicose veins.