Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of [Pain/Pallor/Pulselessness/Paresthesia/Paralysis/Poikilothermia] in the [Left/Right] [Lower/Upper] extremity, duration of [Time]. Symptoms characterized by sudden onset of severe ischemic pain, sensory deficit, and motor weakness. No prior history of claudication. History significant for [Atrial Fibrillation/Known PAD/Recent Vascular Intervention/Smoking].
Clinical Examination Findings
Physical exam reveals [Limb affected] extremity is cool to touch, pale/mottled with delayed capillary refill (>3 seconds). Palpation confirms absent [Femoral/Popliteal/Dorsalis Pedis/Posterior Tibial] pulses. Neurological assessment shows [Intact/Diminished] sensation and [Full/Weak/Absent] motor function. Rutherford classification: [I/IIa/IIb/III].
Treatment Protocol
Immediate initiation of systemic anticoagulation with IV Heparin bolus followed by infusion. Urgent vascular surgery consultation for revascularization (thrombectomy/thrombolysis/bypass). Pain management with IV analgesics. Monitoring for reperfusion injury and compartment syndrome.