Estimation of practical value of physical symptoms of extremity ischemia in diabetes mellitus patients


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Abstract

The aim of the research: to evaluate the diagnostic value of classical visual signs of extremity ischemia in patients with diabetes mellitus. Material and methods. 30 patients with diabetes were examined independently by two students and an experienced doctor. Visual signs of extremity ischemia were compared with data from ultrasound duplex scanning of lower extremity arteries (UZDS). Results. At UZD, atherosclerotic lesion is revealed in 30% of the extremities. The reproducibility of visual signs of ischemia was 44-92%, but the diagnostic accuracy was low (22-68%). Palpation of the pulse was characterized by high reproducibility (71-85%) and acceptable diagnostic accuracy (73-77%). The conclusion. In the studied population of patients with diabetes mellitus, the informative value of the «classic» signs of extremity ischemia was low. It is very helpful to take into account the obtained data in teaching guidances development. Palpation of the pulse on the feet demonstrated better information and reproducibility. Palpable pulse excludes severe stenosis in the basin of this artery, and non-palpable requires instrumental examination of blood flow.

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About the authors

Darja M. Afanasjeva

N.I. Pirogov RNRMU

Email: afanasjewa.darya@yandex.ru
the Department of endocrinology of general medicine Faculty

Maria. M Bakhteeva

N.I. Pirogov RNRMU

Email: maria.bahteeva1@yandex.ru
the Department of endocrinology of general medicine Faculty

Oleg V. Udovichenko

Central clinical hospital of Administrative affairs of the President of the Russian Federation

Email: ovu2003@mail.ru
MD, a physician of diabetic foot office, the Department of endocrinology

Darja. O Ladygina

Central clinical hospital of Administrative affairs of the President of the Russian Federation

Email: ladygina.do@gmail.com
PhD, head of the Department of endocrinology

Tatjana Ju. Demidova

Federal State Budgetary Educational Institution of Higher Professional Education «N.I. Pirogov RNRMU»

Email: t.y.demidova@gmail.com
MD, professor, head of the Department of endocrinology of the general medicine faculty

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