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Peripheral Arterial Disease Questionnaire Endocrine Specialists, PC Patient Name: Date of Birth: / / Age Todays Date: / / Have you ever had the blood pressure tested in your ankle before? No Yes Approximately.

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The PAQ includes a 20‐item questionnaire that assesses PAD‐related health status along six domains (PAD symptoms, recent changes in PAD symptoms, physical limitations due to PAD symptoms, PAD treatment satisfaction, social functioning, and quality of life).

If you have an ABI of less than 0.90 while resting, you may have PAD. An ABI of less than 0.40 is a sign of severe PAD. If there are problems with the arteries in your ankle, your provider may do a toe-brachial index (TBI) test instead, which measures the blood pressure in your big toe. A TBI less than 0.7 is abnormal.

PAD also increases your risk of stroke, heart attack and other cardiovascular problems. A test result of 1.0 to 1.4 is normal.

Several imaging tests can be used to diagnose PAD: Vascular ultrasound. This exam uses sound waves to create pictures of the arteries and locate blockages. Doppler ultrasound: Doppler ultrasound is a special ultrasound technique that can help detect areas of restricted blood flow through an artery.

The ankle-brachial index (ABI) test is usually the first test used to diagnose PAD. The test compares blood pressure in your ankle with the blood pressure in your arm. Your provider uses a blood pressure cuff and ultrasound device for this painless test.

In healthy individuals, the lower limbs should be symmetrically warm, suggesting adequate perfusion. A cool and pale limb is indicative of poor arterial perfusion.

Physical examination findings suggestive of PAD include abnormal pulses, audible bruits, nonhealing lower extremity wounds, lower extremity gangrene, elevation pallor, dependent rubor, delayed capillary refill, and cool extremities ( Table 2 ). Patients with one or more of these findings should undergo ABI testing.

Traditionally, ABI values of 1.00 to 1.3 are considered normal. ABI values of 0.00 to 0.40 indicate severe PAD and 0.41 to 0.90 indicate mild to moderate PAD, values of 0.91 to 0.99 are considered borderline, and values greater than 1.30 indicates noncompressible arteries.

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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232