Q; Which of the following is NOT among the classic six Ps of acute limb ischemia? (select one)
A) pain
B) pitting edema
C) poikilothermia
D) pulselessness
E) paresthesia
Answer: B
It is interesting that patients who develop acute limb ischemia have very quick and dramatic development of symptoms, and most of them can identify the exact time when symptoms began. This is due to the fact the underlying cause is an embolus. Although not present in all patients but famously known as 'Six Ps' are
- pain
- pallor
- poikilothermia
- pulselessness
- paresthesia
- paralysis
#surgical-critical-care
#vascular-surgery
#CVS
Further readings:
1. Olinic DM, Stanek A, Tătaru DA, Homorodean C, Olinic M. Acute Limb Ischemia: An Update on Diagnosis and Management. J Clin Med. 2019;8(8):1215. Published 2019 Aug 14. doi:10.3390/jcm8081215
2. Hess CN, Huang Z, Patel MR, Baumgartner I, Berger JS, Blomster JI, Fowkes FGR, Held P, Jones WS, Katona B, Mahaffey KW, Norgren L, Rockhold FW, Hiatt WR. Acute Limb Ischemia in Peripheral Artery Disease. Circulation. 2019 Aug 13;140(7):556-565. doi: 10.1161/CIRCULATIONAHA.119.039773. Epub 2019 Jun 26. PMID: 31238713.
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