![]() Venous guttering: veins that have very little blood within them due to poor blood supply to the limb, hence the “guttered” appearance.Foot calluses: often caused by an abnormal gait and/or poorly fitting footwear.Hair loss: occurs due to chronic impairment of tissue perfusion in PVD. ![]() Scars: may indicate previous surgical procedures (e.g.Missing limbs, toes, fingers: due to amputation secondary to critical ischaemia.red, black) and breakdown of the associated tissue. Typical appearances include a change in skin colour (e.g. Gangrene: tissue necrosis secondary to inadequate perfusion.These ulcers most commonly develop in the most peripheral regions of a limb (e.g. Arterial ulcers: typically small, well-defined, deep ulcers that are very painful.These ulcers most commonly develop over the medial aspect of the ankle. Venous ulcers: typically large and shallow ulcers with irregular borders that are only mildly painful.Peripheral pallor: a pale colour of the skin that can indicate poor perfusion.may be present in PVD due to poor perfusion). ![]()
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