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PERIPHERAL VASCULAR DISEASE |
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digital gangrene with normal pulses: |
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diabetic microangiopathy (commonest cause)vasculitis [various causes]embolism (pulses present proximal to embolus) |
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drugs: |
ergotamine dopamine |
non-selective beta-blockers adrenaline |
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intra-arterial injection, esp. thiopentone |
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upper limb claudication [with impalpable pulses]: |
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Burger's disease Takayasu's arteritis severe atherosclerosis proximal aortic coarctation thoracic outlet syndrome polymyalgia rheumatica / temporal arteritis |
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lower limb claudication [with impalpable pulses]: |
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severe atherosclerosis Buerger's disease (heavy smokers) saddle embolus (acute) |
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