Peripheral Vascular Diseases

Clinical Features:

• 1)Coldness in the lower leg or foot, especially when compared with the other side.
• 2)Leg numbness or weakness.
• 3)No pulse or a weak pulse in the legs or feet.
• 4)Painful cramping in one or both of the hips, thighs or calf muscles after certain activities, such as walking or climbing stairs.
• 5)Shiny skin on the legs.

Risk Factor:

• 1) over age 50
• 2) overweight
• 3) abnormal cholesterol
• 4)history of cerebrovascular disease or stroke
• 5)have heart disease
• 6)diabetes
• 7)a family history of high cholesterol, high blood pressure, or PVD
• 8)high blood pressure
• 9)kidney disease on hemodialysis

Investigations:

• 1)Serum lipid profile 
• 2)RBS
• 3)coagulation profile 
• 4)LFT 
• 5)ECG
• 6)Echo 

Rx:

1.  Tab. Trental(Pentoxifylline) (400mg) 

• 1+0+1... ..continue

2. Tab. Pancil(100mg) (cilostazol)

• 1+0+1.......continue

3. Tab. Sergel(Esomeprazol) (20mg) 

• 1+0+1....(খবার ৩০ মি আগে)...14 days

4. Tab. Denver (cefixim) (200mg)

• 1+0+1.......7 days
  

5.Tab. Torax(ketorolac)  (10mg)/ Diclofen (50mg) ব্যথা থাকলে

• 1+0+1

🎴S.N: প্রেসার/ডায়াবেটিসের ঔষধ আগের মত চলবে।

Prevention:

• If you are a smoker, quit smoking.
  
• Work to control your blood pressure, cholesterol, and glucose levels.
• Exercise regularly.
  
• Follow a low-fat, low-cholesterol diet and eat more fruits and vegetables.