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CVA patient with unpalpable pulse!!

 
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Old 2nd May 2007, 09:01 AM
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Default CVA patient with unpalpable pulse!!

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Hello fellow podiatrists!
I have recently seen a 75yr old female exsmoker of 5yrs in my clinic with a history of TIA's and a CVA. Her DP and PT are monophasic on the left but the Right DP is weak and thready and the PT is not palpable. Her CVA has affected the right side of her body with the Right foot being plantarflexed with circumducted gait. She also has an ulcer on her Right 5th IPJ which i am treating. I have considered atherosclerosis due to the smoking however am unsure whether this would cause unilateral absent pulses. However any imput into why the pulses are worse on the CVA affected side would be appreciated!!!
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